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1982, 09-09 Permit: 82A-8002 Carport renewal 81A-6954PLAN 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 1. IE . ICk0Z S- N`0^-3 %G-,0nn.Ce--1 LEGAL DESCRIPTION — SEE ATTACHED LOT 2. -Z-Z1--a—LOCI a OWNER 3. " Iffo ADDRESS C . \Gt CONTRACTOR 1544y-ke 4. ADDRESS Y11E DESIGNER SUBDIVISION yyy y�� 1 PARCEL NUMBER/S PHONE ADDRESSZIP ZIP Actual Set Backs in Feet North -4-0 South East S lWest PHONE Size of Parcel Area of Decks Zone Classification Unfin. Basement `7 or L( Z —>• (A- rsb ZIP Type Const. occupancy Sprinklered TYPE ❑ NEW ❑ ALT. 11AD'N. 13 RPL. ElMVE. /' .—]{ l.i M_I ❑Yes ❑No ❑ Req'd. PHONE Va ationBuilding Area in Sq. Ft. 3 A::;-71-- 5. ADDRESSZIP Main Floor Upper Floors GarraageArea Storage a7•76 �. CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement /No. TYPE ❑ NEW ❑ ALT. 11AD'N. 13 RPL. ElMVE. No. Baths No. Stories ^'^ No. Rooms of Dvyelling . 7, OF ❑ OTHER ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd V WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8 .. VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF I UTILITIES �FT<-- Public ❑Private ingle $ I hereby certify that I have read and examined this application and have readZ ped on reverse side, and know the same to be true and correct. All provisions oanhis .0� Buildingtype of work will be complied with whether specified herein or not. The grait eto ash give authority to violate or cancel the provisions of any other state or loccheperformance of construction SEE REVERSE SID+7E FOR REQUIRED INSPECdumbing ��IGNATURE h. DATE OF APPLICAT OF APPI SPECIAL APPROV NAME Env. Health We>—, laccy' C Planning Fire Marshall Co. Engineer Utilities Plans Examiner L I SPECIAL CONDITIONS: Qc�� TE Plan Check SEPA Mobile Home '�Er. Q� t ►'�-CvC'1��, �a r� � tom- r�t2_o'J f4 � � Other (Specify) PERMIT NUMBER SZ A - TOTAL $ -�I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Building Technician PERMIT IS NONTRANSFERABLE 0 !-,0,9 - 8 2 8 0 a 2 z * 2 1 Q 0 a M Cl r/ - c 1`1_.,, _ . -