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1982, 09-16 Permit: 82A-8289 ResidencePLAN NUMBER - 2» '2- APPLICATION/PERMIT SPOKANE COUNTt —;WILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. 2. e 3 LOT k..iS,©4- MAXWELL - BLOCK LEGAL DESCRIPTION — SEE ATTACHED SUBDIVISION N:A.Le'RS 1kDD 1 T'LQrO OWNER NOLA- CONS-Ct?xc—'Y LCD/0 PHONE QZl sa - t�<0I PARCEL NUMBER/5 IBSS ) — 4108 ADDRESS • . aZl1 Y1L£p eJT ZIP clCV-2-0C Actual Set Backs In Feet North ZS 'South East L51 'West -MI 4. CONTRACTOR an 44 ADDRESS PHONE Size of Parcel 8o x t4-0 Zone Classification SINGLE €,thaw So.ms ZIP Type Const. c 1L N •OO'cccupancy 1Z 5. DESIGNER PHONE' ADDRESS ZIP Val Ion Q�Q� , SoCVIta Main Floor Upper Sprinkiered ❑Yes DNo 0 Req'd. Garage = Area Building Area In Sq. Ft. Floors Storage CHANGE OF USE FROM 6. TO 7. TYPE OF WORK g NEW • d BLD. O ALT. O PLMB. DESCRIBE WORK 8. ' ' 1 NG LE 'f 04fnn LL_y VALUATION GAS SOURCE OF UTILITIES ❑ AD N. 0 RPL. O MECH. 0 M.H. 12E�cg6 wCC ELECTRIC ❑ MVS. ❑ POOL 0 OTHER Area of Decks ?FIJO4NC No. Baths Finished Basement Unfin. Basement Goo No. Stories No. Rogms No. of Dwellings CERTIFICATE • of EXEMPTION Req'd. Reed. Not Req'd. Enum. Dist. Location (Area) WATER SEWER Ownership iuel USE CODE Public ❑ 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 APPLICAN SPECIAL APPROVALS NAME DATE v.}gea l th anrly 9// 3 P1an ng Fire Marshall C/QQo��.J£ neer L;Ilit les lief/ 946)* laps ExamiQer LL•—ers--45 Q)..1 SEPA Checklist B g Ter lcian SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building 41Ji '662 afre Plumbing Mech.- Plan ech:Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 262- OC PERMIT NUMBS — ear - 81_69 02* *25200 *25200'6 A *Q00 8 801.32 09-09-82 6.479. WHEN MACHINE VALIDATED THIS BECOMES A PERMIT. `, 0?9I, i;;; 1 it_ 1c6=!8 1 i2i DATE ISSUED IN THIS SPACE, 828,92 A25i2:0.00 - PERMIT NO. TOTAL 0_ O U w —J W I2 "7:77-- E (F)v.,-)41 1-1 /1 zo' 1 ( - 2.' Grp' • I I . 4•S ,r5 tts:" t . tt: • ' ,t 1 Lcst 1