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1981, 04-29 Permit: 81A-4093 Lawn SprinklerPLAN 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 JOB ADDRESS 1. E. Cac(D°I CA2LISLE LEGAL DESCRIPTION - SEE ATTACHED 2. 3. LOT BLOCK SUBDIVISION OWNER - Eto DOLLS PHONE PARCEL NUMBER/S ADDRESS E . (ADA CF10_t.LSL.E ZIP Actual Set Backs in Feet North !South East West 4. 5. CONTRACTOR �t S?ettUKL6tt PHONE Size of Parcel 1 Zone Classification ADDRESS tox 5zo . Meko DESIGNER ZIP' 4wsa Type Const. Occupancy 5 p r i nkl er ed Dues ❑No 0 Req'd. PHONE Valuation 1 Building Area In Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF • WORK TO Area of Decks Finished Basement Unfln. Basement R'NEW D ALT. 0 AD N. 0 RPL. 0 MVE.- 0 BLD. 0/ALT. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Stories No. Rooms No. Of Dwellings . CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK s. LAto S2Qin. kLee_ StTEm Enum. Dist. Location (Area) VALUATION 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Ownership Public 0 Private 0 USE CODE I hereby certify that 1 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 9- SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examine SEPA Checklist PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single -$ Building Plumbing GC) Mech. Plan Check SEPA . Mobile Home • Other (Specify) TOTAL $ l.Ct.) PERMIT NUMBER JeSiA-40c:13 03* *9.0'A *9.00 N *9.006 A *Q00 6 409.2 04-29-8;1 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'141k,''� ig'` ,g,11 4 1 0'91'3,`6 DATE ISSUED PERMIT NO. *9.0.0Dale — TOTAL