1981, 03-09 Permit: 81A-2185 DuplexPLAN NUMBER I APPLICATION/PERMIT
f Fi'4_ "�/�/�� 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 LEGAL DESCRIPTION - SEE ATTACHED
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BLOCK j5Ut:lUlVl5lUN PARCEL NUMBER/S :3s4,;� _///,Z
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3.
DRESS ZIP Actual Set Backs in Feet
North *' South AA7 " East 1,4l West `
NT ACTOR PHONE Size of Parcel Zone Classification
4'
NAME DATE
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ZIP
Type Const.
Occupancy
Sprinkle ed
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❑Yes ❑No ❑ Req'd.
DESIJPNER
PHONEV
luation f�
Building Area in,Sq. Ft.
5. ��,T
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6 7080
4 S 4d
ADDRESS
ZIP
Main FloorUpper
Floors
Garage Area
Storage
/y.� ,nn
CHANGE OF USE FFtOMArea
of Decks
Finished Basement
Unfin. Basement
6.
—
—
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TYPENo.
NEW El ALT. ❑ AD -N. ❑ RPL. 1:1 MVE.
Baths
/ --H
No. Stories
No. Rooms
No. of Dwellings
7 ❑OTHER
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WORK CQ BLD. ElPLMB. ElMECH. ❑ M.H. 11 POOL
CERTIFICATE
Req'd.
I Rec'd.
Not Req'd.
of EXEMPTION
D SCRIB WORK
Enum. Dist.
Location (Area)
8
I
FEES COLLECTED
VALU TIO SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
CODE
9. el _ TILOITIES
I
Public ❑Private O,USE
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 this3�7�U
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
I
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
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Plumbing
/100011,
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
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ning
Fire Marsnaii
Co. Engine r p
Utilities
Plans.Eiixaminer
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SEPA Checklist
Building Technician
SPECIAL CONDITIONS:
Plan Check
PERMIT NUMBER
�* *337.0.0
X337,0.0
*33700y
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2011,5:
03-04-81
6,479.
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PERMIT IS NONTRANSFERABLE
PFRMIT FXPIRFS ONF YFAR FROM DATF nF ICSt1ANCF
Other (Specify)
TOTAL $ -7 aG
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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