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1982, 02-25 Permit: 82A-1268 MH
APPLICATION/PERMIT Ef-f-ml Or -KP -A, $ I SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 X-/ APPLICANT: COMPLETE NUMBERED SPACES - PRESS.HARD TO MAKE 3 COPIES JOB ADDRESS 1. 130Co t, po '(tea LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK NUMBER/S �'�i+ixNlAVf2ES to—a- QQ 2. 2. I ISUBDIVISIONPARCEL riJ O� Bi.�c 4G S %(1 4F IJ. %'1(.. $ O F OWNER PHONE .tTt�g' ELC. S,�` F—KC. W. 1'7.6 3. O n� A7.0 ->`315 � OF l8 551— 38 ADDRESS ZIP Actual Set Backs in Feet fes, k3� CL4 North South �` East West I,Q CONTRACTOR PHONE Size of Parcel Zone Classification SA IAO 7C -13 A Rtc,.A.�iTk 4. ADDRESS ZIP Type Const. Occupancy Sprinklered sonl(S -.5ij yL ❑Yes []No ❑ Req'd. DESIGNER PHONE Va�l tion` Building Area in Sq. Ft. G>Oz7 140 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basemei 6. No. Baths No. Stories No. Rooms No. of Dwell TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. t 5 I 7, OF ❑ OTHER 'd. El BLD. ❑ PLMB. ❑ MECH. M.H. El e CERTIFICATE a Rec' Not Re WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8--Doa. aLz LjDioe; 1I1/vili ME VALUATION1 SOURCE I GAS ELECTRIC WATER SEWER Ownership USE CODE 9.-165 UTILOITIES ',6-9'(k= 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. SEEREVERSESIDE FOR REQUIRED INSPECTIONs Plumbing Mach SPECIAL APPROVALS NAME DATE le th co tn9 ans txaminer SIGNATURE OF APPLICAN SPECIAL CONDITIONS: 1-11 C VJ Foy V�1z.PaNl:-L` KE�aa.+ArC� ON IZ.EI.,o�'c�t>..► ©F lZo�w �2�Nrac,Er ��?. u/ �A ng Technician PERMIT IS NONTRANSFERABLE e2 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home 100, da Other (Specify) TOTAL $ IbO.oa 07* *1CQC0 *1�, Qi`'0 *1CC0C A 2 / 6.4'7 9 _ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0`2125`182� 126.85 *100.00 DATE ISSUED PERMIT NO. - \IV :Z),q 0