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1981, 03-30 Permit: 81A-2860 PoolP/ 0o/8/ arrLuca I ivni I 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-/ ✓i1!,�1 - LOT BLOCK BDIVISION O�,✓v NER ADDRESS CO TRACTOR 4. �4 444 e 2. 5. LEGAL DESCRIPTION - SEE ATTACHED PHONE ZIP (lc -1Lei PHONE PARCEL NUMBER/S „i;:;„,s.5.1/ -. 9 7 '7l reek" r Ex -e. s, zs' jpi-ac rov✓T)/ Actual Set Backs in Feet / (( / North /4 (South/41i East a :/ 'West Q -/Y Size of rarcel go xi 76. ADDRESS A,44.a DESIGNER ZIP Type Const. Occupancy Zone Cla§sificaon �} 4-1.1 Sprinklered ❑Yes ❑No 0 Req'd. PHONE Valuation Building Area in Sq. Ft. S/2 ADDRESS ZIP' Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unf in. Basement TYPE 7. OF WORK NEW ❑ BLD. O ALT. ❑ PLMB. ❑ AD N. 0 RPL. 0 MVE. ❑ MECH. 0 M.H. 54 POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. D ESCRIBE WORK i0 (10 4/-44/64/4) z• ghlt X' ` WATER VALUATION • r o0D °6 I hereby certify that I haveread 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 permit doe not presume to give authority to violate or cancel the provisions of any other state or local law r g c.,�Q�lction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONY /% / ///n' CJV ^ vv/ SOURCE OF UTILITIES GAS ELECTRIC Enum. Dist. Location (Area) SEWER Ownership Public 0 Private t2. USE CODE DATE OF APPLICATION —36 —2/ SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME GATE 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 Mech. Plan Check SEPA Mobile Home ,! Jt! i/W,L <�2i Other (Specify) TOTAL $ 0'2* *2500 *2500 rn *25006 A *000 8 28592, 03.-30-8-1 2 6479 9 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. O!3t3�31`9; ;; 4i 2`8 0'z 0:0,2 - DATE ISSUED PERMIT NO. TOTAL ' T