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1981, 04-27 Permit: 81A-3956 GarageR, 21/�/ 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 LEGAL DESCRIPTION — SEE ATTACHED LOT I BLOCK BDIVISION PARCEL NUMBER/S /� 2 NER PHONE 6/-� ` 3. Z -Q 7715' TRf'Nr VvdaD d k ADDRESS /' ZIPActualActual Set Backs in Feet r (� r �� 17,72-16 � NorthA467 South /AA " East West4- CONTRACTOR PHONE Size of Parcel / Zone Classification 4' A DRESS ZIP Type Const. 9tM- pancy Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation, e� BuildingArea m Sq. Ft. 5. ADDRESSZIP Main Floor Upper Floors Garage Area Storage D� CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement TYPE 5& NEW ❑ALT. 11 AD'N. El RPL. EI MVE. No. Baths I No. Stories No. Rooms No. of Owellin 7. OF ❑ OTHER WORK DQ BLD. ❑ PLMB. 1-1MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req' of EXEMPTION D SCRIBE WORK Enum. Dist. Location (Area) $ FEES COLLECTED VALUATIOjV SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE Q((JJOF UTILITIES Public ❑Private Single $ 1 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 a.pd 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 '-� 7 -k l SIGNATURE OF APPLICANT �u�'l ,C�,; J AJ Mech. SPECIAL APPROVALS NAME DATE Env. He z� Planning Fire Marshall Co. ;Engineer -C�2%fA�l�fitt.L�/ Ni11-t%L�CC%'Q Utilities �Plans Examiner SEPA Checklist, Bui�ding � ecFypicia� SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE Plan Check SEPA Mobile Home Other (Specify) TOTAL_ WHEN MACHINE VALIDA7 THIS BECOMES A PERMIT. PERMIT NUM; E rl"-y �� J2* *62.00 *6:00 U *6200 t', * C 0 101 4; 395,4 04-27-8`1 6479. IN THIS SPACE, 3 9 621 *'6 2 0.0 a ; - N