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1981, 07-28 Permit: 81A-7502 Residence
(PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / 5PCKANc, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1.L BLOJK�SUB IVION F5 2.27J 8 '7-C� P � OWN �{ 3 N 'Lys La m ADD ESS CONTRA 4. ADDRES+' LEGAL DESCRIPTION - SEE ATTACHED P O E PARCEL NUMBER/S Z.45 - tC,05 Actual Set Backs in Feet North 30 (South East L7 (West PHONE ZIP Size of Parcel sificat' n 77. ijZoci9J, Tgpel Const. Occupancy Spri klered Oyes ON 0 Req'd. DESIGNER 5. ADDRESS PHONE Valuation "32 2..5 C. Building Areljn Sq. Ft. ZIP Main Floor i oor, Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TYPE 7. OF WORK TO Area of Decks Finished Basement Unfin. Basement N W 0 ALT. 0 AD N. 0 RPL. 0 MVE. 0 OTHER BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL No. Baths No, Tories N000ms No. of swellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not F rq'd. DESC I WORK 8. i2JG Enum. Dist. Location (Area) VAL ATI ON 9. SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER 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 INSPECTIONS DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning D. &EL Fire Marshall Co. Engineer 604/1 tS) Utilities Plans Examiner -66sL fLAh-) SEPA Checklist EZiyg Th icia. SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE FEES COLLECTED Single Building Plumbing Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMi-r NUi..BER'7 a — 1 �2 * *2"8601. *206006 *000 72<1 07-21-81 6479: WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 750.2 z` *20.6100 M zd ,9,r) cog 4 X 2.6 1232- rM v4vIAA r;, 6,1 ` L''1`2)0) 1,}4- 004 loq) / Go� tr 101 / cif) 001 Sola I 1aT t GRAVE 1.1 � 18 (q8) /3V-©" r.• • • r. • • L -AL- Lors o!?q'2B .23L Wcu44w4 • • AW -E3 S. /// K.