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1980, 07-09 Permit 80-6834 Add to GaragePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT PERMIT NUMBER 80 ,-CIPY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOQ FjDDIF17��� lid /\ I/ LOT BLOCK SUBDIVISION 3. 4. 6. OWNER 1/P\M0 1, b �AV LAKI i2 ADDRES . r71 7 CON` T13A 4C ADDRESS DESIGNER PHONE , 7G". O Kr, ZIP PHONE LEGAL DESCRIPTION — SEE ATTACHED BER/S I �� - ob �� 21/� aF -2l toaK I • Actual Set Backs In Feet North aO )South Size of Parcel lox I Type Const. 1 Occupancy East (West Zone lassiflcati Sprinklered Dyes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. ADDRESS CHANGE OF USE FROM TYPE 7. OF WORK ZIP TO ❑ f�kE`W ❑ ALT. EAD'N. ❑ RPL. ❑ MVE. BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER Main Floor Upper Floors Area of Decks No. Baths Garage Area Storage Finished Basement Unfin. Basement No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. DESCRIBE WORK 8 I2 I Y �`I901'f0(1'3 x fig) VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership 9. UTILITIES ✓ . l l G Public 0 Private !J OF hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Enum. Dist. I Location (Area) / USE CODE DATE OF APPLICATION f(J SIGNATURE OF APPLICANT WriLA-Zre, SPECIAL APPROVA .S NAME DATE Env. g9Health /l4 rI/ A/So Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Chfyeklist SPECI L CONDITIONS: N7po— rivcJ eqKw Not,A eq'd. FEES COLLECTED Single $ Building Plumbing - Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ Af__ 02* *44,00 *4I44,00 N *44.008 *0,00 682.6e U7_09`-80 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. -(ildin9 ' inician PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE '0 '9: 81'0. 6 8'3, 4° * 4 4 0 02 rj- DATE ISSUED PERMIT NO. TOTAL