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1982, 07-29 Permit: 82A-6567 DampersPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3•COPIES JOB ADDRESS 1. g • LOT 2. 15131 t, `ATALDn SUBDIVISION BLOCK LEGAL DESCRIPTION — SEE ATTACHED 3. 4. 5. OWNE PAR ADDRESS n 143 /1 \ TAA.DO CONTRACTOR / 11 A4RES,4 GUtilr ! /d7,o I#1J1an4- DESIGNER PHONE 9l u- 7396 ZIP R9a'L PARCEL NUMBER/S Actual Set Backs in Feet North . 'South East IWest TAC P ONE asr-aloo Size of Parcel Zone Classification PHONE Type Const. Valuation Occupancy Sprinklered Oyes ONo 0 Req'd. Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors 1 Garage Area Storage' CHANGE OF USE FROM 6. TO 'Area of Decks Finished Basement Unf in. Basement 7. TYPE OF WORK O NEW ❑ BLD. O ALT. ❑ PLMB: O AD N. 0 RPL. O MECH. 0 M.H. O MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. DESCRIBE WORK 8. IA x711 F/uc VALUATION SOURCE OF 9. UTILITIES GA6 Ox 1. ,n jtrn ce r W1I K/f. SEWER ELECTRIC WATER Enum. Dist. Location (Area) 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 cor:Struction. SEE REVERSE SIDE FOR REQUIRED INSPECTION_, /r , DATE OF APPLICATION -a1-8.- 2 - SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Englnee Utilities Plans Examine SEPA Check!' B .,.0 :T��bnida *Sae SPECIAL CONDITIONS: r. Stftva PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Dmprr, Plan Check /OOS 9011 . SEPA " Mobile Horne Other (Specify) TOTAL PERMIT NUMBER Oa* *19.0.0 *19.006 A *000 65662 , 07-29-82 z '6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. � Oii7:x'(1',9=8121 6;567z *:T9.002.,� DATE ISSUED PERMIT NO. TOTAL