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1981, 01-12 Permit: 81A-0379 Residence W/Garage, Deck`DLAN NUMBER _ / / /02/g/ APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 JOB ADDRESS 1.t . 11 ► LOT BLOCK 111 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES SUAL SIN ©1;:7 owrv5lR I a 'I' 3. 0 M IKi ADDRESS 2"NI �' VVa `.i rC) ‘4. CONTRACTOR ADDRESS DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK LrJ�NEW ❑ ALT. E BLD. ❑ PLMB. PHONE 928 -off, PHONE / LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER /S °5 3 -vim * 3..r,-) o F hsl.lt` -j ZIP PHONE ZIP TO ❑ AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER Actual Set Backs in Feet North 2 ? 'South Size of Parcel CO5 )44 1 3' TyY / /pil Const. I OcCuppaan V . I uuat on 0{IK��jI) ✓✓✓� Main Floor Upper Floor) East 1 r-, Wes I Zone Classifica ion K16 Sprnklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Ara of Decks Finished 6.:e) C4011..EREO ,yl -2.0 Basement Unfin. Basement Storage No. Baths DESCRIBE WORK 8 ��� FL,i' V.A—LUA Owr' SOURCE GAS LECTRIC OF 9. .q�, /L /58'itJT1 LLITI ES WATER SEWER No. Stories CERTIFICATE of EXEMPTION Location (Area) Enum. Dist. No. Rooms No. of Dwellings Ownership Public ❑ Private, Req'd. 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 o a permit does not presume to give authority to violate or cancel the provisions of any other state or local law r gulating construction or the . performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION DATE OF APPLICATION /'Z SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Envl teLlfJ/ fw Planning Fire Marshall Co. Engineer Utilities Plans Examiner //6h9/ M ISO S ; L .)A ]T SEPA Checklist ing hn cianr h cian SPECIAL CONDITIONS: detv 91/■> N - i3u106i - ihI rI i r - r is7601Th PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Req'd. FEES COLLECTED Single $ Building 1.63�D Plumbing ,Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMR'R o:&-i7 02* *26500 *265.00 *265,006 A *000 37.82 01 =12 -81 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 01.. 1; 2-' dig DATE ISSUED 3295 *26500 PERMIT NO. TOTAL U J L&