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1982, 10-14 Permit: 82A-9587 Residence PLAN NUMBER °� APPLICATI�'' a/PE 1 PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT SZ A _ 567 el NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED �, 1. No4- c zees LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 5f. 'v0 Y 2. —7 .Z AE..v1fJRtc;c�c�_,p.v C�..3 , I OWNER PHONE A * ( en 3. tr1 t INIAL Iq%-L A, Co.v r. 44-8 —C nct 7 S C.4 3-- 1-7 0"7 7 ADDRESS ZIP Actual Set Backs in Feet `, C 1 .'' '.-5ZocJ GNWMzole,0 4/s ZC North kit 'South East 30` 'West j ^, L1c- ,.) L CONTRACTOR PHONE Size of Parcel Zone Classification ' A vv..er SO 2C 136. . •ani.)C,'1-E KA-‘4—`4 6 4 7 c 4' ADDRESS ZIP Type Const. Occupancy Sprinklered N 3 ❑Yes ONO ❑ Req'd. DESIGNER PHONE V4tuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage - Q\'1..- CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. � l�t,`if�iG .—�, 4-34 TYPE ❑ 0 ❑ ❑ No.Baths No. Stories No. Rooms No. of Dwellings EW ALT. AD'N. RPL. MVE. Z l 4 7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not yteq'd. WORK LLL���JJJ BLD. 1:1 PLMB. 0 MECH. 0 M.H. ❑ POOL i/ of EXEMPTION DESCRIBE WORK Enum.Dist. !Location (Area) ' 8.S t ry F.L E FAT( t�,E5 I E-1N(� I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership /USE CODE OF Public 0 Private LY' 9. UTILITIES SCP-Ci r.:__ 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 Building —2.52...Cc) 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 the performance of construction.SEE REVER:E SI P E FOR REQUIRED INSPECTIONS Plumbing DATE OF APPLICATION` %� /Of SIGNATURE OF APPLICANT _ i? '� 4 Mech. SPECIAL APPR LS SPECIA CONDITIONS: 7.- N DATE Plan Check E Health JC `C}/6 SEPA n ing C i Mobile Home Fire Marshall i Cng e�0 h�� Other(Specify) utili s TOTAL $..-4 .: Plans Examiner NOT 9 c:5 N.) Vt.LL WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. ing echnician��yylcr PERMIT IS NONTRANSFERABLE 1 071,4"8 2 9 5 8.7 z *2 5 2 0 0 a p - � � 1- C/ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL . . .. - •7,3,3,37337,".....7".•••,61..........."......i....4smetmoir.4.........**0-......•••...1,t......A.- , • -. ._ , ' .- . . - ' I .., . - . . •:- . . . /de7 ' . : ..- . • . . 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