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1981, 01-19 Permit: 81A-0623 Plumbing Fixtures4 NUMBER (L APPLICATION /PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS t Q % /, I(4tSSie &! LOT BLOCK SUBDIVISION OW,N /ER n jr 3. H - F7 l� y1 hto i _. ADO ESS /. /12- Ut t yer St ./Ly CONTRACTOR 4. 771,7713 . &/ feelris S -Air ADDRESS DESIGNER ADDRESS CHANGE OF USE FROM PHONE 772-0 6 6. TYPE 7. OF WORK TO zl • 2 PHONE ZIP NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ BLD. .PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER DESCRIBE WORK 8. VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER /S Actual Set Backs in Feet North South East 'West Size of Parcel Zone Classification Type Const. Valuation Main Floor Occupancy Upper Floors Area of Decks No. Baths Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Finished Basement Storage Unfin. Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. No. Rooms No. of Dwellings Req'd. Location (Area) Ownership Public ❑ 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 p • ' •oes to give authority to violate or cancel the provisions of any other state or local law reg g cinstru performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building -chyician ; #* —r�-� SIGNATURE OF APPLICANT SPECIAL CONDITIONS: /7— T /pis 37 — L. aY S S$ -- S` F /do- ar)l#!S 6 — L3 ,tidry TVi( -- I-- 10 ALal 1— /pr Fi—A/ r� PERMIT IS NONTRANSFERABLE /4 j PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE /II xgo:= 5.64 �, Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing 56 41.r Mech. Plan Check SEPA Mobile Home Other (Specify) 'S` ad retrial( �J oc." TOTAL $ E1 / PERMIT NUMBER 03* *564.00 *564.00 V, *564,006 A *0.00 62.22 01419 -81 2 6479. 03* *5.00 *500 17)- *5.008 A *0.00 8 6282 01 -19 -81 2 6479 A 62,92 * WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES,A PERMIT. 0'117 19.`81! 623 Z *564OO2g - DATE ISSUED PERMIT NO. TOTAL G. c c: INSPECTION RECORD OWNER LOCATION CONTRACTOR NS E W SET BACKS TYPE OF WORK _ FINAL INSPECTION: 6 -a,. / i% DATE 2-o REMARKS: 4,e7L )271 d'Airy .4„, ciidZ L 1ty ,1 ‘A.4.--1-4-2-1-c-.--e- Q X4}1 Noi22 U L �Z %t iei�,l 10641 tTiv:47 &..1/ Pi ja% s,,4 k (iitii? /'L ?If A414 i,t. J.41/1/-. A7-7 APPLICATI VN/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 011 JEFFERSON / SPOKANE, WASHINGTON 99250 / 15091 456 -3606 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 200 1, 056 MLSSre N HLDCR Istn171v1eNN LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER'S a °f "F ?rvL, old :11`41 z a4i ye Y PNON “F ' ■Tg• Ea /-u- -rfs•cs Ito `'7.2.06 Actual Eat Basks In Feat ?surto !Souls Si. of pascal East I Zone wire. rt b Cnml. Occupancy 6. DESIGNER PEON alustIon ❑v., Doe kl0 Rag•d. Building Area In SR. Ft. ADDRESS MO ow CS ago Awa lor. CHANGE OF USE FROM a TO Ara. of Finish.. BM.mant Unlln. B..•m.nl ^•n QG0tW 0 ALT. 0 000. 0 RPL. 0 1100. 0000 0 m.o. )64,o0. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Rm. No. Room. INo. of 00.11 ng. a OtlCRIEE WORN /0/ PrGU Sny� 7 VALUATION 00000001 OAS ELECTRIC WATER SEWER IDT IrIH61 CERTIFICATE of EXEMPTION !own. EMI. 1 Leullon (A1.1 OwnuMIP Public 0 Private 0 u COD I hereby certify the. I have read end examined Ills application and have read the "NO I II. L'- pruvlsluns Included on MI MS side, end know the same to lie tore and correcl. All provisions of laws and ■I■rbllanees goverrlln• this type of work will be complied with with specilied herein or not. The granting of p. •oe to give euthorlty to violate or cancel the provisions nl any other state or meal law re performance of constre9HlOn. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS DATE OF APPLICATION •U / //) l/ SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE SIW Health MOW u•s Examiner SPECIAL CONDITIONS: /7- rodieks 37- LaVS 3 - 5%o /cs 5 - floor Prd IACS 6 - 1,0a-k /fe4krS / - udry 7vay. I - 5.DweV _ • / — 10144. I I PPwrle l4 Ph/ /9/ X4 Cif °j--- Rac re' 0.50. FEES COLLECTED Singl Building Plumbing MKb. Wen Cheek SEPA Mobile Home 561 0150, ISp.dv) Sr00 fePMlf• TOTAL S IT MAMMA at _ , 0603' 03• •56400 •56400 •5640011 A •000 8 622s 0119 -81 6479t,s 03• *500 - •500 •5008 n •000 B 628s 01- 19 -d.I. 6479. 5290 1. WHEN MACHINE VALIDATED IN THIS ACE, iI ri THISINCOMIlek PERMIT. •