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1982, 03-01 Permit: 82A-1363 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT09,A- 136, cii NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES MI JOB ADDRESS G4 * * 1 4.00 P-/ StiG:/ LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 4O O 6 2. i i. OWNER PHONE 3. Og t.//0 L. Vcif '. 9'02 —5.5 7 A * 0 0 0 ADDRESS / ✓ 1 3 6 2 0 �i d / ZIP 7 / Actual Set Backs in Feet /V. /-7 ,��T SL-4,a,`✓�'h/61441 /y 0Z�IF North 'SouthEast (West CONTRACTOR PHONE Size of Parcel Zone Classification 0 3 0 1 —8 2 4. i4 A'4f n-1,5417 t/ly /1"4,_ /4-c.. y �'-Woo o 6,4 7 9, ADDRESS 1p ZIP Type Const. Occupancy Sprinklered 1 /3 7/C/ /- -t fC:01/ fo ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage - CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo.Baths No. Stories No. Rooms No. of Dwellings El NEW ❑ ALT. El AD'N. ❑ RPL. LI MVE. 7. OF ❑ OTHERReq'd. Recd. Not Req'd. WORK ID BLD. ❑ PLMB. I=1 MECH. ❑ M.H. El POOL CERTIFICATE of EXEMPTION DESCRIBE WORKnn Enum.Dist. (Location (Area) t 8. /-1"-S- fu C/ Fik F A-17 � LY-1..,' e S iK,n,4-�*e -� FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public ❑Private 0 • 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 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 Plumbing DATE OF APPLICATION j1. — r9 S t - SIGNATURE OF APPLICANT //C .-e----41-3-."---`----- Mech. Ie.elf SPECIAL APPROVALS SPECIAL CONDITIONS: ,a,,. ter. 7/Gel deck NAME DATE 1., (� Plan l;heck Env. Health J G[L-r'' F°E T' /' ,,C"rti/ C,/" SEPA %i_ c) Planning C) - w Fire Marshall Mobile Home _' !L Co. Engineer Other(Specify) Utilities TOTAL $ /4 "A Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. �`ng Te - PERMIT IS NONTRANSFERABLE 0 15'7' .0 �;'-8 2' 136.32 * 14..0Oa � - irff PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL S.. .. - -