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1980, 09-19 Permit 80B-2 Residence, GaragePLAN N1. MBER '. - SPOKANE COUNTY o BUILDING CODES ©[PAI-t T MEN T NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES 1. 2. 3. 4. JOB ADDRESS LOT �� C BLO K OWNER SUBDIVISION sip. 79-,'y - W,Q,S.-04 ADDRESS CONTRACTOR ADDRESS /a ;4&c. / L PHONE 5 P33j i• ZIP y 9�t v (- PHONE SArn4i ZIP I LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S osIJ - 9/.,t' Required Set Backs In Feet IS North 4/:i 'south J .O Size of PPrcel /AlAtn- .. Type Const. Occupancy East 490 IWest Zope CIpssIfIcatlon rinklered ❑Yes IgNo ❑ Req'd. DESIGNER 5' ADDRESS 6. 7. CHANGE OF USE FROM TYPE OF WORK Ur NEW 0 BLD. ❑ ALT. ❑ PLMB. TO ❑ AD'N. ❑ MECH: ❑ RPL. ❑ M.H. PHONE ZIP ❑ MVE. El OTI-1E12 ❑ POOL Valuation v e1 v DWL Area Basement Area '7i' /yyr' Split Entry No. Baths Building Area In Sq. Ft. 2aeo' Garage Area {{ Split Level c'%4- CERTIFICATE of EXEMPTION Req'd. Storage Rancher Rec. Room Rec'd. DESCRIBE WORK 8 6-/Av614 F,%4'uI7, Ails idt.voe VALUATION Source of 9. / T E00 Utilities rt//? cqe. I -rr: Coo flat - AS ELECTRIC WATER `C, SEWER Pri C, 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. DATE g --. _' SIGNATURE DEPT. SPECIAL APPROVALS REC'D. REC'D. Fire Marshall Co. Engineer Utilities Zone Clearance SEPA Checklist SPECIAL ,CONDITIONS: / DATE OFFICIA Not Req'd. X FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL .u0 DATE PERMIT NUMBER 1-- //-ku 02.: *385.00 *38500 to *385.006 A *0,00 12 09-11'-80 61479., WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A,.PERMIT. 0, 9,Ir►.,i;.1,�.: 8 200385,00°1 APPROVED FOR ISSUANCE