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1981, 04-13 Permit: 81A-3408 Demolition
PLAN NUMBER ZIP - APPLICATION/ PERMIT �z © � SPOKANE COUNTY - BUILDING CODES DEPARTMENT 0 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 /-'— APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1 JO� ADDRESS +a Size LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCR SUBDI I ION PARCEL NUMBER/S i/_ � � C2 2. ZIP Type Const. Occupancy Sprinklered W 7 O�R -:o+49 PH DN -1 100 3. PHONE Valuation /�00� Building Areain Sq. Ft. 5. ADDRESS ZIP - Actual Set Backs in Feet �z © � O✓�J 0 /-'— North South East West CONTRACTOR PHONE Size ofrrx 16� Zon�siflcati� 4' ADDRESS ZIP Type Const. Occupancy Sprinklered I ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation /�00� Building Areain Sq. Ft. 5. ADDRESS ZIP Main Floor/ Upper Floors Garage Area F7Storage 7 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement s. Baths No. Stories No. Rooms No. of Dwelling TYPENo. ❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE. %, OF �� — -THER 21 BLD. 1:1PLMB. 1-1 MECH. ElM.H. EJ POOL CERTIFICATE Req'd. Recd. Not Req'd WORK of EXEMPTION I DESCRIBEWORK ,�I /�Lf� �I Enum. Dist. Location (Area) FEES COLLECTED 8 r Q `-7 V VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. JUTILITIES OF I I Public ❑ Private ❑ Single $ 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 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 INSPECTIONS Plumbing ` [ DATE OF APPLICATION ___T r! U _ SIGNATURE OF APPLICANT �_,t �1 Mach. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist AL CONDITIONS: PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ �' PERMIT NUMBER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0'4,,'-1i 3 -'81 3 4 0 8= *L �0 f..(17r *:2ia00,aOF -