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1981, 04-06 Permit: 81A-3133 Residence W/GaragePLAN NUMBER`S /7--e/4- x'13 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 ho oo SUBDIVISIQN .r.r --5 0 LOT 2. OWNER ADDRESS 3. BLOCK LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER /5 © r PHONE 1001 ZIP 4. COT, RaNTORi\Lik,(4 6.1 r7v2 ADDRESS Iii DESIGNER PHONE Actual Set Backs in Feet North 0 'South Size of Parcel IC%t=' ) L2 0 Typel Const. Occupancy ,V)N '>> I�,� I East 02. 'West Zone I ssification ref 5. ADDRESS PHONE ZIP CHANGE OF USE FROM 6. TO TYPE 7, OF WORK 8. 0✓ NEW ICJ BLD. DESCRE WORK VALUATION 9.52 /plot' ❑ ALT. ❑ PLMB. SOURCE OF UTILITIES ❑ AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER Mai Floor Sprinklered ❑Yes ❑NO ❑ Req'd. Upper Floors /2-641 Area o !Decks • No. Bat hs . Zti Building Area in q. Ft. * /2-6Cf Garage Area Finished Basement co o. Stories - storme- Unffiin. Basement No. Rooms j> No. of j Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Rsfi'd. GAS ELECTRIC Enum. Dist. 'Location (Area) WATER, r� M MO/J, SEWER 41G. 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 permit does not presume to give authority to violate or cancel the provisions of any other state or local law relating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO DATE OF APPLICATION 01rti .j / ` / 7 .fS / SIGNATURE OF APPLICAN SPECIAL APPROVALS NAME DATE Env, -alth € / Planning SPECIAL CONDITIONS: /i‘f' K 32_ = go fcr 3/3/ adzier6 232— Fire Marshall LG� ies 6 117s Examin /e7.4_14/ SEPA C ck 1st a C1 Z \PCr ` PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUTvrE =, 02* ' *28600 *28600 *286006 A *000 3132 04-06-81 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. r 0 4t (1,6 -8 '1 DATE ISSUED 313.35 *286 OOa PERMIT NO. 1001 i