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1981, 10-20 Permit: 81B-0854 Garage11-'1_./.11N INUMUtK 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 1.qg0 BLOCK o0. firraf2iIUNIce OWNER AD I r is l 1 1,`Yr - 92'01 6FWsr14At? LEGAL DESCRIPTION — SEE ATTACHED 2. 3. CONT. ACTOR 4. 1 �i1G Got'IL ADM E55_ D DESIGNER 5. PHONE 2.2 -08+1 ZIP 9F72Ice C4-- d?o4 PARCELNUMBER/S 17r¢z_ tLa hr, r/L 6 �V I pvi/L cr 5. 2-01'4E; � i�/L of oJ,3�o Actual Set Backs in Feet North (South East IWest 5 Size of Parcel Zone Classification c .7c. 21 o etc-, SU 16 • Typei I Const. IN{ Occtipincy Sprinklered ❑Yes DNo 0 Req'O. PHONE Valuation I Building Area in Sq. Ft. /'J 0 11 7‘,0 ADDRESS ZIP Main Floor Upper Floors Garage Area Storage96 CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK leNJFW 0 ALT. 0 AD N. LY BLD. 0 PLMB. 0 MECH. O RPL. 0 MVE. 0 OTHER O M.H. 0 POOL No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req,d. Re NOt lyte d. 8. 9. DESCRIBE WORK VALUATYON SOURCE GAS ELECTRIC OF JJTILITIES Enum. Dist. Location (Area) WATER SEWERS "1 11� Ownership Public O Private /USE CODE I hereby certifyrthat 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 APPLICATIorcabs_ara SIGNATURE OF APPLICAN �7�" 1'fl er.Q • SPECIAL APPROVALS SPECIAL ONDITIONS: -" NAME DATE Envy-is/0th/4/Qg1-‘ f /O//t Plannnii nngg Fire Marshall Co. Engineer Utilities Plans Exa finer K& 1o, SEPA Checklist Tech ian r • PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) V6. TOTAL $5&- PERMIT 11 MBAR Sie_ tB5 02* *'5600 * 5600 * 56006 A *000 0 84,82 1b=20-81 2 6479. et WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE'ISISUED It a 81.1 8;542 PERMIT NO. *56.'UOa�, TOTAL t. 4 �,. .J1&Na.t Jia i� 1 i+a -}- 4 - r