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1982, 09-09 Permit: 82A-8059 GaragePLAN NUMBER 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. 3. JOB ADDRESS LOT BLOCK SUBDIVISION OWNER KA -IPP -JO P- g6. PHON AC DRESS A C RIV R4. 5. ADDRESS 22arAk DESIGNER ADDRESS ZIPPH PHONE LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S 1 Actual Set Backs in Fe t � North 'South C1 East 627 'West `e" Zone Classification t'C- Lam. Sprinklered ❑Yes ❑No ❑ Req'd. ZIP Size of Parcel f97 l Type Const. v1\1 Valuation V6 Occupancy MI Building Area in Sq. Ft. Main FI or CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Upper Floors II Garage Area Finished Basement `/+i�~ Storage Unfin. Basement NEW ❑ ALT. ❑ AD N. 0 RPL. ❑ MVE. 'BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Notq'd. DESCRIBE WORK 8. VALUATION SOURCE OF UTILITIES ( 74 GAS ELECTRIC WATER Enum. Dist. I Location (Area) SEWER Ownership Public ❑ Private /GSE CODE 9. 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 Z �SIGNATURE OF APPLICANT J SPECIAL APPROVALS NAME DATE Env! &ea Planning y�f Fire Marshall Engin Utilities Plans Examiner F'I c SEPA Checklist Bui 1TecMfiici'an SPECIAL CONDITIONS: • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building �r Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ e75 PERMIT ileirirrg 02* *6000 *60.006 A *000 778,0.E 09-02-82 2 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED PER10I z * TBT�L 68.00a1- 3 3� T/,v4 30 1 35' L EAC Desc2/Pr/o/c/ W, /¢8� a,c E, /70' OF 5 , %2 oF' ti, w, r/4 of SE . /4 ©,c' /J,V/. 1/4 , r rc, ,eo, /41RGEL ND, 23532-9/Z, • /2/c,4/4,ep .D /_-/Doiee S. .5'67 8 CH,2O/t//CLE