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1982, 03-24 Permit: 82A-2167 MH
`"'"'""'"'�"` APPLIGATIVI�1/ PEKMIT 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./ �A1 1 LEGAL DESCRIPTION — SEE ATTACHED LOT K B I O PARCEL NUMBER/S 2. 0 � -L J 5 �' Q83S L -©ray OWNER PHONE 3. w z --- ADDRESSZIP Actual Set Backs in Feet North ac South East West S / CONTR TOR PHONE Size of Parcel Zone Classification �8 7 /' 130 4' ADDRESS ZIP Type Const. Occupancy Sprinklered ��6 ❑Yes []No11Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage /T I - CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. semel 6. TYPE No. Baths No. Stories o. Rooms No. of Dwell Ij�I NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 1 J 7. OF ❑OTHER WORK ❑ BLD. ❑ PLMB. ❑ MECH. M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Re of EXEMPTION DESCRIBE WORK Enum. Dist. I Locat' n (Area) FEES COLLECTED 8• 0 [� (� S VALUATION1 SOURCE GAS ELECTRIC I WATER I SEWER Ownership USE CODE OF 9. 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 the same to be true and correct. All provisions of laws and ordinances governing this Building 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 Plumbing SPECIAL AWROVALS NAME DATE Env. alth z� Panning Fire Marshall o. Engineer Utilities Plans Examiner PhRMI 1i7UMf�_R u%* *10'00 *10000 *100000 00 12 109 6.479 SPECIAL CONDITIONS: Plan Check No 4OP9-D*dd P4e-n17- e4eF aIX gr Tills T -11V19 SEPA erQw"a 4% -rlm e a=' Mobile Home 'e. - ,E G/G�Ns7z,�/i�l�Tio� 2)AIG Dr rK.eG 17-4sCE: . Other (Specify) nician PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'3 24'-82 216,725 *10a0'Oa.�-J- DATE ISSUED PERMIT NO. TOTAL 130.00' , SO/ ,SG Qo O SZ F7 31) p i. TO Ph"p .'.P?'r' L/Nt: FAIRVIECotn y ' 1-i g- /u Z- D. HELD 1 C3 71! E. FAIRVIEW C' LoT 3 .BLOCK 2 COALW - LirE E S TATE S SCALE = 1 /1 b ~ = 1 FT.