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1982, 06-09 Permit: 82A-4734 Roofing SidingNUMBER APPLICATI.ON 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 PERMIT NUMBER 02* *20.0..0 *20,00 *20.0.0 A *a0.0 47332" 06,=09-8:2• .z ..6479 DESCRIBE WORK .8�V •yC��%n/�cL ' T "ELECTRIC JOB ADDRESS FEES COLLECTED . " SOUR GAS LEGAL DESCRIPTION — SEE ATTACHED WATER LOT BLOCK SUBDIVISION PARCELNUMBER/SGi+.f?��a AVE, 2. , Public ❑Private OWNER PHONE .3.:. ADDRESS Single $ -. ZIP Actual Set Backs in. Feet V- k<j Ce (� . CF on -reverse side; and- know-tK same -to -b -e "trueld d� correct. Allm7provlslons oflaws and-`ordlnances'governing this- �� -� - type of work will be complied with whether specified herein or not. The granting of a permit does not presume --t4 Ia— to give authority to violate or cancel the provisions of any other state or local law regulating construction or -the North . South East West CONTRACTOR Plumbing PHONE Size of Parcel Zone Classification DATE OF APPLICATION_(=� SIGNATURE OF APPLICA Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: ADDRESS' NAME. DATE ZIP Type Const. Occupancy. Sprinklered SEPA - ❑Yes .❑No ❑ Req'd. . Planning DESIGNER .. PHONE ValuationBuilding " Area ,in Sq. Ft. 5. �� Fire Marshall �-era ;• , , ADDRESS ZIP Main Floor Upper Floors Garage Area Storage Utilities CHANGE OF USE FROM TO, Area of Decks Finished Basement- Unfin: Basement 6. Plans Examiner _ - TYPE" ❑NjW ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No. Baths: No. Stories No..Rooms No. of Dwellings 7. OF — / ❑ OTHER CERTIFICATE. of EXEMPTION eq'd. Rec'd.. Not Re 'd. v " WORK. BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL PERMIT NUMBER 02* *20.0..0 *20,00 *20.0.0 A *a0.0 47332" 06,=09-8:2• .z ..6479 DESCRIBE WORK .8�V •yC��%n/�cL ' T "ELECTRIC Enum. Dist. Location (Area) FEES COLLECTED . VAL ATION SOUR GAS WATER SEWER Ownership USE CODE - OF UTILITIES , Public ❑Private Single $ -. I hereby certify'that I have read and examined this application and have read the "NOTICE provisions included on -reverse side; and- know-tK same -to -b -e "trueld d� correct. Allm7provlslons oflaws and-`ordlnances'governing this- -" -- - �- -� - type of work will be complied with whether specified herein or not. The granting of a permit does not presume .Building 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 INSKCT-1-ONS Plumbing DATE OF APPLICATION_(=� SIGNATURE OF APPLICA Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME. DATE Plan Check Env. Health SEPA - CL . Planning .. .. .. .. .. • O Fire Marshall Mobile Home "- Co..Engineer Other (Specify) , Utilities �� TOTAL $ 20—.CIO Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A'PERMIT. Building Technician PERMIT IS NONTRANSFERABLE Dib x,0':9 417 `3. Q cl *.2 0, 0 .0 s�'Cyi2 . PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL