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1982, 09-07 Permit: 82A-7883 Barn
PLAN NUMBER - APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY —,RU'.LDING CODES DEPARTMENT A---76 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 '(`u,'/// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS � ‘‘,(1 ".. .c:..144, LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2. OWNER PHONE v 2 .* * :_ Li 0 0 3. L_C L.4\00 M 1''tL'T i Iv C(�4-4' 0'2_54-'2,- 4\O4 ADDRESS ZIP Actual Set Backs in Feet * 5( U L U E . 14-11(0 �-� (;,,_1A GIck?-3,ce, /North q©r (South East � 'C' (West A * ( CONTRACTOR PHONE Size of Parcel Zone Classification TC.C..: CA__iA-r) 1.a.L•+...OuNQ S S 4—- c 2 IR g.6.CyL..,..:-i2,..Ct_ 4Q4i'gl-1C.sLA-t_T,1/4h:2.faL-- 7 F. 7 c 4. ADDRESS ZIP Type Const. Occupancy Sprinklered c.sog `TizGN l Gaw . TZ\i -i ❑Yes ❑No ❑ Req'd. C C '_ i 7- 2 DESIGNER PHONE V uation Building Area in Sq. Ft. (, a. `i% I 5. .314.a e- �7 ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ ".7(4) CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. __ ."_.. TYPE ( No. Baths No. Stories No. Rooms No. of Dwellings KJ NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. l 1 i 7, OF / ElOTHER Ip WORK " BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. I Location (Area) r FEES COLLECTED 8. eAzN wi s I11.•tg ( -ac�10 I VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OFPublic 0 Private I 9. UTILITIES .{ LC_ 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 -54"'— 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 INSPEOtJONS Plumbing CA - DATE OF APPLICATION - ' - �Z SIGNATURE OF APPLICANT` ��....:.. r�w.�� Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health J0-1- "gse a i' Gj`' -:‘c.... civ i tz-iciv E, "Pe.(ZC..G,:- SEPA > Planning U Fire Marshall Mobile Home J Co. Engineer Other(Specify) iNI i -1-4_,-.•- 'G.7 Utilities TOTAL $ � Plans Examiner OC) FiL6 WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. ' Bu'ding Technician PERMIT IS NONTRANSFERABLE .0 �� -8��2 7 88 ,3 z d �* 5400ao �, - Q��9�; + /fPERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL Q7 21 ( \\ ANE . 61) i qc \\t. E.xISTId 1400s kt ° I SL?"-ci • I , i 1 , • to Ir � I { _ — -