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1981, 11-23 Permit: 81B-2078 SidingPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER ©� ''0� SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 6.0 0 JOB ADDRESS 0 S. LEGAL DESCRIPTION — SEE ATTACHED %''-� ,- , , LOT I BLOCK ISUBIlIV15IONPARCEL NUMBER/S OW pkiONE 4 /J EJt' 1V wlr''�� O/ �j� �fn' ] �} A` $ n 0 n _= Y' 3. ADDRE S ZIP. Actual Set Backs in Feet L1 1111 [ 0 Z 7 ,-)-o North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 6.474.' 4. ADDRESS ZJ.p Type Const. Occupancy Sprinklered �. IC��cl,J I ❑Yes [-]No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage - CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo. Baths No. Stories No. Rooms No. of Dwellings ❑ NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF OTHER 1-1 BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑POOL CERTIFICATE Req'd. Recd. Not Req'd. WORK � I of EXEMPTION DESCRI E WORK Enum. Dist. Location (Area) FEES COLLECTED 8 N VALUATION SOURCE !GAS ELECTRIC WATER SEWER Ownership USE CODEOF �° a UTI LLITIES Public El Private ❑ r) 9. . `oc) �1 Single $ S 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 Building 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 t performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing / lI/Irm DATE OF APPLICATION • SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS I SPECIAL CONDITIONS: NAME DATE rianning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Idinh is i PERMIT IS NONTRANSFERABI Plan Check SEPA Mobile Home Other (Specify) TOTAL $-5�,,CAO WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1'1 -=23' 8`1 207.825 156,0O.a