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1981, 04-24 Permit: 81A-3908 RemodelPLAN NUMBER (0/ 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 1. 2. JOB ADDRESS ! a —L1241 I I BLOCK`SUBDIVISION LEGAL DESCRIPTION - SEE ATTACHED OWNER 3. i _��C.-i4) A DRESS Z CO TRinCT R Art 4. PHONE 9=Z—/� PARCEL NUMBER/S Al;3lo�A.e r 7 - 5 [3� K U PPoieruN/rj ZI P 99:za.6 Actual Set Backs in Feet e4J/444 North 'South East West PHONE Size of Parcel Zone Classification ADDRESS /:2/ DESIGNER 5' ADDRESS ZIP 9qs37 PHONE Occupancy Valuation Building Area in Sq. Ft. Type Const. 1/-4/ Sprinklered ❑Yes ❑No ❑ Req'd. ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑ NEW ❑ BLD. ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ PLMB. ❑ MECH. ❑ M.H. ��❑yI P�O�O , OTHER x0.214 j �.Tl i Ate 8. �'y �/ p. J'j.1 ./.#� -wel , i-1C.e. b i 'p�� VALUATION SOU CE GAS ELECTRIC WATE' 97. - Q L� O F Y. '70 �(�--- UTILITIES DESCRIBE WORK No. Baths 2 No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not Req'd. SEWER Enum. Dist. I Location (Area) Ownership Public ❑ Private fl 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 DATE OF APPLICATION 11/' —."2- --F/ SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health • kpfei Planning Fire Marshall Co. Engineer Utilities Plans Examiner • SEPA Checklist Building T hni n j?Xt t•-- ,. � 4a 1 it c'�c`L , 7L T/ J a4a -�- . ' 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 $ 6b' a PERMIT NUMBER A-37OY 02* *6800 *6800 ro- *68.006 A *000 390,72 04-24-81 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 319°31 DATE ISSUED PERMIT NO. *88.00 TOTAL