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1981, 02-17 Permit: 81A-1539 Residence, Renewal of 79-9122
PLAN NUMBER j APPLICATION/PERMIT PEytMIT NUMBEZ ' i—CoA— 1 1 �/ 7/87 � J SPOKANE COUNTY — BUILDING CODES DEPARTMENT J NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 0 2 * * 2 L 9. 0 0 1. 12' /.0 �� eat— LEGAL DESCRIPTION — SEE ATTACHED * 2 % 9 0 0 t L T BLOCK SUBDIVISIONPARCEL NUMBER/S©O " *Z�O9®1 2. ) et _ /4 (.,,( £©r 4 4:34,K Q * C C 9. 0 0 OWN Rdd PHONE 3. i,,,cd— �3Z4f-,i "� ,EVA - /SLA r AG A * 0, 00 0 ,,ADDRESS tied // ZIP Actual Set Backs in Feet � j 1 3 8 1 -^_ �,A �`�'jR'/i' t Jl - 9c' � North �A y (South am East er ! (West .25' CONT5ACT PHONE Size ofyarcel i ;ye passification 0 G— 1 1 —8 4' „22,,A44.4.4.- g'q)c /3,2,6,9 ,L,...:-.4,4.144.4i 6.479. ADDRESS ZIP Type Const. Occupancy prinklered i/.4 V`N O_`/ ❑Yes ❑No ❑ Req'd. DESIGNER PHONE V luation OD Building Area)n Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Base ent No. Baths No. Stories No. Rooms No. of Dwellings TYPE gI NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE. / 4. 7. OF 0 OTHER WORK fg BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION j( DESCRIBE WORK Enum.Dist. I Location (Area) ' $ it�l _ //, ,� 04 ' �/it e FEES COLLECTED y VALUA ION SOURCE `i� AS ELECTRIC WATER SEWER QJJ' OF Ownership USE CODE v 7,,,d4 UTILITIES �x ( jl6- Public ❑Private 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 22.iO / SIGNATURE OF APPLICANT �_ L4 �i 3 Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: '-ThNAME DATE Plan Check Env./ e. / .. ,!'_,/�/ /3 SEPA a. Planning O CD Mobile Home LU Fire Marshall _ u.. 7 Co E�' meet �7 /? f 6 Other(Specify) 7/s7 Utilities // 0 j 6ZTOTAL $ a- 9`— Plans Examiner foPt r,* ,Art q17 WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. iBuilding Tec nicia .� 911 PERMIT IS NONTRANSFERABLE 0'21 : 1i. '-'8 1' 1 5j �9 z * 2 2'910 0 a.h. 4 j t2� `aff,�! 1.4z PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL d