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1981, 09-29 Permit: 81A-9941 Pole BldgPLAN NUIEg (� (1 / • APPLICATION/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 1. 2. JOB�DORESSS LO , BLOCK DDIVISION Geww.ti (Qeeehr.Su6 S3 TaS JE /V LEGAL DESCRIPTION - SEE ATTACHED 3. OWyy ER ffnloetu1 SK/AJ.vtl2. PHONE PARCEL NUMBER/S O3Sy/-3Y6/ ADDRESS r /3V07 Etay C {JTRACTO/RR� 4. A Aa �,G7/c�0$ 7Pce?Ax163/5 y Fad Actual Set Backs In Feet North S (South 0 East /0 (West .5.-/ PHON 1a,3S7 Size of Parcel 6X As- Zone Classification c 7S/3creeS G. . Su -wU 5. DESIGNER j70. 7 PHONE Type Const. Occupancy intt-‘ Sprinklered Oyes ONo 0 Req'd. Valuation Building Area in Sq. Ft. /a0-0 ADDRESS ZIP Main Floor Upper Floors I Garage Area Storage /4.2 010 CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ;]4V EW XBLD. 0 ALT. 0 AD N. 0 RPL. 0 MVE. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER NoBaths No. Stories No- Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Nor. DESC F W043 0,! C 406- Alo SLf4-/.9 Enum. Dist. Location (Area) 'b." V ALUATION 9974 SOURCE OF UTILITIES GAS ELECTRIC WATER Sera/1C 'SE�W�E R SCK ,-t C Ownership tvl, USE CODE Public 0 Private 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 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 DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health P Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklis vr4- °O --a) lNG Csvz)lcln.v--) PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL SO. W PERMIT NIf ASER gi41 02* *5000 *50.00 *50006* A *000 0 .98712 0:9'25-8 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 11.21 I II I DATE ISSUED PERMIT NO. TOTAL 99;41= *5.00020 d O 0 LIJ J tt F CJ R6/ I F I 1 I PROPOSE° L I 1 X 10^ 1 ' 30� x 40 � �y` \1 I d I STEEL QI ,,\ •t,rc , F BUJ LDIIIG 1 I I SINGLE STORY IORI VEV/Ay • --t )IIIA HOUSE ( EX l s T /NCi) II f PROPERTY LINE 4?, 1 BLAKE n/An EA/t CL4RE ED&E, IF it t4/ E EVER EXTENDt: J DEAD END -et- 4- HER0Y -� CONCRETE CuRB (Lx 15T/N6) ASPHALT AND CURB EPJb 1 PROPOSED PLOT PLAN I F 13409 NfRnv •?' t', r.f r.»4j;:.4I4v + t..