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1982, 09-17 Permit: 82A-8354 Pole BldgPLAN N AMBER ,/f ' APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 8" JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1 JOB ADDRESS ��' LEGAL DESCRIPTION —SEE ATTACHED LOT L CK 15UBDIVISION PARCEL NUMBER/S 2. 44 1*4TS . N 70 OWNERPHON ADDRESS©' r ZIP Actual Set Backs in Feet SEast 'yWest a,5� , �// am �oX /l CO TRACTOR PHONE Size of Parcel Zone Classification a.7 v a ss�' 0 RE� `��� Z P Q� S Type Con t. Occupancy Sprin❑Yes ❑No kl❑ Req'd. DESIGN�JE'R O PHONE Valuation Building Are in Sq. Ft. 5' ADDRESS ZIP Main Floor I Upper FloorsGarage Area Storage 7,-7 s CHANGE OF USE FROMTO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPENEW El ALT. ElAD'N. 1:1 RPL. 1-1MVE. -� 7, OF 1-1OTHER WORK LD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd.7 Not Req'd. of EXEMPTION DESCRIBE WORK rr_ Enum. Dist. Locati n (Area) 8 vG/fJ• FEES COLLECTED VALUATION SOURCE I GAS ELECTRIC I WATER SEWER OF Ownership USE CODE 9, UTILITIES Public ❑ Private Single $ 1 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 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 INSPECTIONS Plumbing DATE OF APPLICATION / -/ 7 a � SIGNATURE OF APPLICANT0 �-� -Mech. SPECIAL APPROVALS NAME DATE I _ Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building -[AqXician, SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ q 7 1 PERMIT NUMBER ems- e *47.00 *4 .00Y A c 0 2' 6 i!, 9 09-17-82 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. O9�P�' 8�2 835j4z DATE ISSUED PERMIT NO. TOTAL COOK BROTHERS CONTRACTING Route 2 Box 853 B OTIS ORCHARDS, WA 99027 (509) 924-1557 JOB %) jyN i S SHEET NO.~ // ` FOX ' `�" OF CALCULATED BY DATE CHECKED BY DATE SCALE FORM 204 Available fromEBS INC. Townsend, Mass 01470 M 0 1 r