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1982, 05-19 Permit: 82A-3950 Addition(PLAN 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 S . &o? C,ftia..ru a t LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION OWNER e L6©n:�rz� PHONE PARCEL NUMBER'S z- W.iLO,1 L6T8 5. i4' t. F t>i tOr t,9 r CA:ROL.•b^..16 �3S - t4�3 ADDRESS ZIP Actual Set Backs in Feet North( (Southam -4 East 3a iwest 4. CONTRACTOR PHONE Size of Parcel )( Lit Zone Classification ADDRESS rte' d=hcs- e ZIP Type Const. �1ViJ Occupancy M Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5. ADDRESS PHONE Valuation Building Area in Sq. Ft. 36c ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK t6. NEW LJ BLD. ❑ ALT. EJ AD N. 0 RPL. ❑ PLMB. 0 MECH. 0 M.H. 0 MVE. 0 POOL 0 OTHER No. Baths No. Stiiories No. Rooms L No. of Dwellings l CERTIFICATE of EXEMPTION Req'd. Rec'd. Not R,Bq'd. DESCRIBE WORK 8. -ADD> (to O—' 621 44{12-4/2.4-. VALUATION SOURCE OF UTILITIES GAS ELECTRIC tgi 3 WATER Enum. Dist. ILocation (Area) SEWER Ownership Public ❑ Private 113/ 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 INSPECTIO DATE OF APPLICATION 6/ / / () SIGNATURE OF APPLIC N SPECIAL APPROVALS NAME DATE Env. r Pia ing Fire Marshall Co. Engineer Utilities Plans Examiner 1.act•T SEPA Checklist Buildin. echnician SPECIAL CONDITIONS: W 1 6.4.,SrtNG S:`Y'YLC • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ „4-7. Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 4-7. bC) TOTAL $-�Y PERMIT NU 'LER e31'). P * It ^I �ct�c 05-1Q-82 6 t- 7 q. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 5 49-)8,Z DATE ISSUED • 3r95:0Z PERMIT NO. *47.00 - TOTAL