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1982, 08-09 Permit: 82A-6936 ResidencePLAN NUMBER APPLICATION,/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 s LI/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1? �A. _ L DESCRIPTION —SEE ATTACHED 1 4' ADDRESS �� Type Copst. LO BL 5 yBDID VI IO MBER/S 2. ❑Yes ❑No ❑ Req'd. " f^��' PHONE UN OWN f2 Kj PHONE 3. 13 lo 5. F/ AD SS � ��� ZJ13 2,0 Set BacksFeet r -2 - Mai r® Up� O Floors G ra a Area 9 p1 Storage - CHANGE OF USE FROM East West 1" CONTRACTOR PHONE Size of Parcel D one Classification ZC �> 5 - 4' ADDRESS ZIP Type Copst. Occu ancy Sprinklered �VII♦VI ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 13 lo 5. ADDRESS ZIP Mai r® Up� O Floors G ra a Area 9 p1 Storage - CHANGE OF USE FROM TO Area ff Decks Finished Basement Unfinn. Basement 6. LiW J(J No. Baths o. Stories No. Rooms No. of Dwelling TYPE W ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd. Not eq'd WORK of EXEMPTION D SCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED VALUATION SOURCE G LECT IC WATER SEWER Ownershipnpresume DE 9. 1UTILITIEO5 Public ❑Private Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" proded on reverse side, and know the same to be true and correct. All provisions of laws and ordinancthis type of work will be complied with whether specified herein or not. The granting of a permit dme Building to give authority to violate or cancel the provisions of any other state or local law regulating contheperformance of construction. SEES REVERSE SIDE FOR REQUIRED INSPECT S Plumbing r6 -' ' �IGNATURE Mech. DATE OF APPLICATION OF APPLICA SPECIAL APPROVALS NAME DATE 4Fire Z hall Co E gineer Utilities Plans Exp SEPA Checklist ,-- Build ing'YeclyT_—,an i SPECIAL CONDITIONS: Plan Check SEPA Mobile Home l'GY}1,%r�h�ct, cv.�koariac� c/j//avuo ��a. Other (Specify) - 1 0 iU lob Cle-ceco TOTAL $� j_ WHEN MACHINE VALIDATED IN THIS SPACE, "� THIS BECOMES A PERMIT. PERMIT IS NONTRANSFERABLE B "'`''Q 9 ''8 2 6 9 16 z* 4 2 4 0 0 a - --- ---------- `s C, �L � � I LEGAL DESCRIPTION ru z C, t-, YT C. F _14 112 'i-1`6 S .0"k. TN "v4lLY uLG Si.Y lt+ S3FT T + tYLY TO NLY LN " 9. 2F T 'W E& �p "; C �fi iH ScLY $.2F t T ! 'v1CCR T H S T:3: POE