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1982, 02-22 Permit: 82A-1198 BarnPLAN 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 1. 2. 3. JOB ADDRESS may° M� LOT BLOCK SU D ISI �L' D• N icbo1-floiA LEGAL DESCRIPTION - SEE ATTACHED OWNER ADDRESS 1322 MAMA ckti. CONTgq GTgf� 4. PHONE , �a6-5417 1,7—* PARCEL NUMBER/S IV.rfl_ 07l 2-- N1.1 ool or , I/ or FbcciiA 101 Set Backs In Feet North 1� 1 South East I�O 'West PHONE Size of Parcel too Zone Classification ADDRESS ZIP Type Const. OCLlj rI pancy Sprinklered Oyes 0No 0 Req'd. 5. DESIGNER PHONE Valuatipn Building Flea in $q. Ft. ADDRESS ZIP Main Floor Upper Floors 11 Garage Area So rgge CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7, OF WORK Lg W 0 ALT. Trel D. 0 PLMB. O AO N. O MECH. ❑ RPL. O M.H. O MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not ed. DESC, RIBS Y‘ipRI( ) GAS VALUAT ON SdURCE OF 9. UTILITIES Enum. Dist. Location (Ar a) ELECTRIC WATER SEWER Ownership Public 0 Private USE CODE 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 nG _ 2 -9'2 - SIGNATURE OF APPLIC E SPECIAL APPROVALS NAME DATE Fire Marshall Co. Engineer SPECIAL CONDITIONS: r" r&fdcn167 57G 4r- Isi/r5uM3 Z/22 /$7/ PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Horne Other (Specify) TOTAL $ PERMITy ER 1 1 5 02* *61.00 *6t00 *61.006 A *000 3 11a1� 0'2-22a-82 2 61179 7 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 61 lc1 1 DATE ISSUED PERMIT NO 111'9,8 z. 61-.0 0,21-2. — TOTAL 0- 0 0