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1981, 05-11 Permit: 81A-4582 Addition PLAN NUMBER APPLICATION/PERMIT PERM" iUME ER `// / SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. GJ 1 ct V.1- 'R.t'D(...-AC.M.CA.I'r LOTOBLOCK SUBDIVISION PARCEL NUMBER/S 2. 3 'R,c1'ae/b'io/1/431 Tes illi-7., OWNER PHONE 02 * * 2000 3. i e N N Y 9A1J a i Ft=tz ciZe'301`i 2.6541-O6 l.,r,: L r,, co ADDRESS ZIP Actual Set Backs in Feet 5= l4 ick Zvoe.-tg AN'T QC4Z,0(v North (A' 'South East Ze' 'West * 20 U 0 c CONTRACTOR PHONE Size of Parcel Zone Classification * ) 13 TZI\'.1 S ir�1.si.. (AZ1.0- t 101X t 5 iR:2,EE:,ULi4 Sii JC LE 1 AV t4-Y 4. ADDRESS �^ �ZIIPP� T�y}p'�e�Const. Occupancy Sprinklered 4581 S . 3S0-1 ,•LoF�17 _ `-1 �C ..lr.+'� .g. -1 Oyes ❑No ❑ Req'd. DESIGNER PHONE Valu tion Building Area in Sq. Ft. 05- 11 -81 x.136 460 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage / 9 _ itribi CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 3(..a LAix.3c TYPE �/ No. Baths No. Stories No. Rooms No. of Dwellings L✓1 NEW ❑ ALT. l AD'N. ❑ RPL. ❑ MVE. 7, OF 0 OTHER WORK Btr.D. ❑ PLMB. 0 MECH. 0 M.H. - 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION I DESCRIBE WORK Enum. Dist. I Location (Area) t 8• ND-31"Ttdi - D F 1)-6c- . 6r0R-A( aati_D%Nea I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership ,( USE CODE {t13� UTIOF LLITIES b ciz. Public 0 Private LJ 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 0-a, 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 INSPECTIONS Q Plumbing DATE OF APPLICATION l��/y � SIGNATURE OF APPLICANT e �2: �[ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Lie.CA-6C GK94-3 Plan Check Env.� Health ( 3/24.0. 'Vol Rtc-116 SEPA a_ Planning O Mobile Home LU Fire Marshall LT— Co. Engineer Other(Specify) Utilities TOTAL $ 2.0,©0 Pia,..,Examiner 9 rt L ,�_i//, WHEN MACHINE VALIDATED IN THIS SPACE, EPA Che 2L.„--)......_ sf t THIS BECOMES A PERMIT. Buildin Technician PERMIT IS NONTRANSFERABLE iUi "l-1'r'I+r o i4 70.t z *20,00- F' - c---)--•?-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 4 44, 04, d, 1,,• S' Si r Oeie •