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1981, 06-03 Permit: 81A-5409 Insert
PLAN NUMBER APPLICATION/PERMIT PERMIT NUM B d�i'I r. SPOKANE COUNTY - BUILDING CODES DEPARTMENT Y/j� l NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 '0/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES } JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 1. 5308 S. Van l,Tter 0 4 * * 1 7.0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1`7.0 0 2. OWNER PHONE Fick Scott - RAS Construction 456-1550 * 1 7.0 0 3. ADDRESS ZIP Actual Set Backs in Feet A *0. 0 0 8 2.0. Box 221 - Veradale, -j'11, 99037 North 'SouthEast 'West CONTRACTOR PHONE Size of Parcel Zone Classification 5 4 0, 8 Valley Fireplace. Inc. 922-2780 4' 06-03-81 ADDRESSI6E10 Sprague Ave. ZI89037Type . Occupancy Sprinklered Oyes ❑No ❑ Req'd. 2 6 4 7 9. l erad8.l O y ','TA DESIGNER PHONE Valuation Building Area in Sq. Ft. Contractor Specialty 5' ADDRESS Be. VA LL =-v 626 a,Si ZIP Main Floor Upper Floors Garage Area Storage — CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. �,( No.Baths No. Stories No. Rooms No. of Dwellings TYPE R1 NEW E ALT. 0 AD'N. 0 RPL. ❑ MVE. 7, OF © OTHER — CERTIFICATE Req'd. Recd. Not Req'd. WORK 0 BLD. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL of EXEMPTION DESCRIBE WORK Install Tv'O. 101 art : S tUZr3 ^01 1 te ;,-it1Enum. Dist. I Location (Area) ' 8. 7..etalbest;Os Crnney. I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public ElPrivate 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 INSPECTIOPlumbing DATE OF APPLICATION 6; -'f SIGNATURE OF APPLICANT(,/ lie ' Mech. • SPECIAL APPROVALS SPECIAL ONDITIONS: NAME DATE Plan Check Env. Health Heady for inspection SEPA U Planning C� Mobile Home Fire Marshall Co. Engineer Other(Specify) Utilities TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THISBECOMES A PERMIT. 1 �_ 'ng T=+'nici.n r PERMIT IS NONTRANSFERABLE t�' �;t17,1 �x`8'1 5'4 a 9 z *'� 7.0 ,Q - `'�` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL