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1981, 04-07 Permit: 81A-3195 GaragePLAN NUMBER iimy 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. I ci 12 ®uU TL- M+lcrt�I LOT BLOCK (SUB (VISION LEGAL DESCRIPTION — SEE ATTACHED 2. 15 11 b Ausi2_ Maul es-tarce PARCEL NUMBER/S C*552.7 V2.5 OWNER 3 b014 I t(►t1N4 PHONE g253-6153 ADDRESS E . I' tzt Mon ThomER4qqaCo ZIP Actual Stet Backs in Feet 5 North ISouth WO1East 42_' 'west 4. CONTRACTOR 1Jv kr4g0r)a; COnn-rru wctioN PHONE 83c2- 4t Size of Parcel 66)(12C Zone Classification RES • M1S(LE. “cuvvE ADDRESS ZIP Type Const. Occupancy,�p IVi-1 Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5. ADDRESS PHONE Va ation -?2,4,00 Building Area in Sq. Ft. stoo ZIP Main Floor Upper Floors I Garage Area 4o Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK NEW WJ BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. 0 MVE. 0 OTHER ❑ M.H. 0 POOL No. Baths No. Stories l No. Rooms L. No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. 4Not ,Req'd. DESCRIBE WORK 8. -De.. -115 K 6Pa U€ t.6 i5u VALUATION SOURCE GAS ELECTRIC �, DO OF UTILLITIES Enum. Dist. ILocation (Area) WATER SEWER tEPt 1C. Ownership di USE CODE Public 0 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 SPECIAL APPROVALS NAME DATE Env. Health Planning 411/81 Fire Marshall Co. Engineer Nem Reca`O Utilities • Plans Examiner 1s)a-r R6aso . SEPA Checklist Building Technician r1 SIGNATURE OF APPLICANT SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building `c0 Plumbing ech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 38.00 PERT NiJ;kgER NCIS 22 * * 3 200 0 Cv_ 319. 0a-07-31 6.47'9. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. i B, 0414.8..7,.81. 31952 *3&00°aI- l4't.A) E. t710,0lewan. 42e-- b7S'3 Pi4e0eC 410. 08-552- lgt Lo t , s , gLocK1 $ ,qLekc &,2 R41, oicL le Nomes QZo