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1982, 04-22 Permit: 82A-3110 Rerood, ResidePLAN NUMBER 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 JOB ADDRESS LEGAL DESCRIPTION —SEE ATTACHED 1. F—• \44i1 LOT BLOCK PARCEL NUMBER/S 2.24 I ISUBDIVISION T �-2tsZ OWNER PHONE 3. ADDRESS ZIP Actual Set Backs in Fee)E7 t . 4 A)61 G , 144-ki, L.(>"&%lFCL4-o LAz aCf 24 North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4' ADDRESS ZIP Type Const. Occupancy Sprinklered rv�� t,I �.� ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 40c=) a®& 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage — 24-4=.-.) 2 Q -G _— CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPE �/ ❑ NEW ❑ ALT. ❑ AD'N. 10 RPL. ❑ MVE. No. Baths _ No. Stories No. Rooms No. of Dwelling 7, OF ❑ OTHER BLD. ❑ PLMB. ❑ MECH. ❑ M.H, ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd WORK of EXEMPTION I V'/ DESCRIBE WORK Enum. Dist, Location (Area) FEES COLLECTED 8. 9,c SI ��S i - G.4e VALUATION I SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE I'`2 4-C10 UTI LOITIES 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 Building 4-7•'c, type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to viol a or cancel the provisions of any other state or local law regulating construction or the performance of construc io . SEE REVf RSE SIDE FOR REQUIRED INSPECTIONS Plumbing r',ATC nr ADD] Ir`A-rinPW � t 12.111 All IOC r\C ADD. 1!`AAIT ///) V/ Z3 Z`--' Mech. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plla``n__--s Examiner SEPA Checklist ECIAL CONDITIONS: 'TO Plan Check SEPA Mobile Home Other (Specify) TOTAL $ +-?-Cp, PERMIT NUMBER 2A ^ 3110 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Y ing Te nician n PERMIT IS NONTRANSFERABLE �'�'�4 "2'_L�" "8�2� 3 1 1, Q z 4 * % d F CL C C- 1; ii 7]