1981, 02-20 Permit: 81A-1703 MHAPPLIGATION/ PERMIT
PERMIT NUMSFyR
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
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JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
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-t- O T I BL 0 C K BSION PARCEL NUMBER/S f8-5'
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OW ER PHONE exe, S, 2-5, laaf u,;, Fo
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47
69.
ADDRESS ZIP Actual Set Backs in Feet
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Qi North Tt ! South S/ East �/ West :31
cb TRACTOR PH NE Size of Parcel' Zone Clad ification
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4. AD RESS ZIP Type Const. Occupancy Sprinklered
1e,41 -441W - V -,Al I ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Val ation Building Area in Sq. Ft.
3 * * 9. O
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ADDRESS ZIP Mai Floor Upper Floors Garage AreaStorage
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CHANGE OF USE FROM TO Area of Decks Fini hed Basement Unfin. Basement
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6.
02'-10-81
No. baths No. Stories No. Rooms No. of Dwellings
TYPE � NEW ❑ALT. 1:1 AD'N. [I RPL. El MVE. �
_ 6 479,
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7 OTHER
El BLD. ElPLMB. F-1 MECH. 4 M.H. El POOL CERTIFICATE Req'd. Recd. Not Req'd.
WORK
of EXEMPTION X
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DESCRI E WORK Enum. Dist. Location (Area)
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8 /A V -Z-.r FEES COLLECTED
J[ VALUATI�ONO SOUOFCE GAS ELECTRIC WATER SEWER Ownership USE CODE
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UTILITIES JZ
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
_
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 4 pb
Plumbing
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIOONN�S�
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91 /
DATE OF APPLICATION �-9- SIGNATURE OF APPLICANT4� Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE Plan Check
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
C
nici,jn I PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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DATE ISSUED PERMIT NO.
*5'9.00CIL h-%
TOTAL ,
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OFFICE Of THE
SPOKANE COUNTY PLANNING DEPARTMENT
--vezDale 19 —-�___--
u _ Buildinc3 Codes Department
rom Planning Depdrtmen.t 1
ubject._ Buildincl Permit
The Planning Department has received a request Boni
9ZOIAIIA� Q for the release
of a building pormit on the property as described on
the attach �d affidavit/legal description. It has been
determine Uiat a building permit should be issued
under the provisions of RGW 58.17.210. This memo
and attached affidavit/legal description 6iust accorn-
pany the building permit application.
**This release will not authorize the holder to construct or apply for a
building permit to construct more than one residence on the lot described
below. 70 6,fcaAlAeX6� gr
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