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1981, 04-01 Permit: 81A-2945 FurancePLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER SPOKANE COUNTY - BUILDING CODES DEPARTMENT Ip_ ZR / NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 L11/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1 JOB ADDRESS �� �1 LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUB I I ION PARCEL NUMBER/S 2. OWNERNE 3. _7q7 ADDRESS ZIP Actual Set Backs in Feet SCA W�f North South East West CONT RAC P ON Size of Parcel Zone Classification (Y; ��Z 4' ADDRESS .� j Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGN R PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE USE FROM TO Area of Decks Finished Basement Unfin. Basement 6 © i l No. Baths No. Stories No. Rooms No. of Dwelling TYPE„��//� ❑ NEW ❑ALT. ❑ AD'N. L'SRPL. El MVE. 7, OF—/ ❑ OTHER 1:1 BLD. 1:1PLMB. 11 MECH. ❑ M.H. OF -1 CERTIFICATE Req'd. Recd. Not Req'd WORK of EXEMPTION I QIcaCR16 WO Enum. Dist. Location (Area) FEES COLLECTED 8 t �� ln VALUATI SO RCE GA ELECTRIC WATER SEWER Ownership USE CODE 9. UTILITIEOF S Public El Private C1 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 INSPECTIOPhS Plumbing DATE OF APPLICATION3�� ��SIGNATURE OF APPLICANT I 101 _ Mech. fLs, 00 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE nv. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist B l ling,&hnicia n.n PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other(Specify) TOTAL $ I •00 04 *1 0900 *1800; Annr, 296,4 Off --G1 -�1 - 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. i 294596 *I&DOTP, - r