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1980, 10-24 Permit 80B-2601 GaragePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT PERMIT NUMBER r )I� ra(G\ NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3676 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LOT 2. /,j OWNER 3. kir4/1) A. CliG6a1?-r ADDRESS . //6o C llG/ C-e BLOCK I U DIVISION F/4)/Z/l Aee5 Mosicc 443A?, CONTRACTOR • ADDRESS DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TO PHONE qe..g� & Z7y ZIP PHONE ZIP PHONE ZIP LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S 0957/_ �o fsr Actual Set Backs in Feet North 57 / !South Size of Parcel 7t Type Const. Occupancy Valuation fj3S/el o Main Floor TYPE 7. OF WORK EITNEW ❑ ALT. 117 BLD. ❑ PLMB. DESCRIBE WORK 8. ,D Ti4e1Q ❑ AD'N. O MECH. jz VALUATION 9 3g4.oc SOURCE OF UTILITIES GAS ❑ RPL. ❑ M.H. ELECTRIC D MVE. ❑ POOL WATER ❑ OTHER SEWER 5e7PPC Upper Floors Area of Decks No. Baths East IWest Zone Classification p /1-740/ //o Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. 33 4 Garage Area Storage Finished Basement Unfin. Basement • No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) No. Rooms INo. of Dwellings Req'd. Rec'd. Not,q'd. Ownership Public D Private USE CODE I 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 SIGNATURE OF APPLICANT VVgnA DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: FEES COLLECTED Single $ Building 4 2.3. oo Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 02* *23.00 * 23.00 * 23.008 A *000 2.57.32 10:-23`-80 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Buil ing Technician 1o/z3/Eo PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 2'60;1 z *,2 3:0 O.a 1-2 PERMIT NO. TOTAL (f-A- eJJ-:E