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1981, 08-21 Permit: 81A-8392 DeckPLAN NUMBER +, APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 4563675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1. JOB ADDRESS �• e10.20 ie' eiohJ AJC LEGAL DESCRIPTION - SEE ATTACHED LOT 2.I$5 OWNER 3. BLOCK SUB (VISION �5-r jP.&-Ub7 JrOO. t-ACo1.t'J rlAw PHONE PARCELNUMBER/S 10 ff 0oILot- I 01 q? �l t_0 1_0 -r5 tJ D. or 4 d-1^11 - ADDRESS tJD 20 4. CONT RA CTO¢ ,.1,SSloIJ ZIP %`)2-O (o Actual Set Backs in Feet... North South 1.l Ea IC" (West PHONE Size fPa�o Parcel Zne Class' I� /'V /v ADDRESS ZIP Type Cons Occupancy Sprinklered ❑Yes ❑No 0 Req'd DESIGNER 5' ADDRESS PHONE Valuat "7 O Building Area in Sq. F ZIP Main Floo Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of ck; , Finished Basement Unfin. Basemen TYPE 7, OF WORK ,d EW _ 0 ALT. 0 AD N. lid BLD. 0 PLMB. 0 MECH. O RPL. O M.H. ❑ MVE. o POOL 0 OTHER No. Ba s No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not teq'd. DESCRIBE WORK '' I 8. ri'W}4 o N o hOL, VALUATION SOURCE GAS ELECTRIC OF 9. UTILITIES Enum. Dist. Location (Area) WATER SEWER 5r, r1G 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 INSPECTION DATE OF APPLICATION alb SIGNATURE OF APPLICANT C J PO/ gr g SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE EnvllHeal Ar'`'\f' a/(2 jos., FCba frivilT (s1A- 7271 ) Planning Fire Marshall Co. Enginee Utilities Plans Examiner a Io , SEPA Checklist 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 $ PE MR IT NUMBER r stA -039'-2- 02* *14.00 *14,00 *14.008 A *0.00 839.02 0'81-21-81 g 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED 8,3 1 1 9; 12. Zti, * 14 0 O.O J a H - PERMIT NO. TOTAL