1981, 04-23 Permit: 81A-3826 ResidencefiN"„MBER
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APPLICATION/PERMIT
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g/
], OF ❑ OTHER
WORK XBLO. ❑ FILMS. ❑ MECH. ❑ M.H. ❑POOL
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
m /
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99960 / (509) 456-3615
of Rep'C.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
of EXEMPTION
JOB ADDRESS
ESQRIB WON
Enum. DIz[.
jZn,erz111P
(Area`J/(FEES
COLLECTED
single $
LEGAL DESCRIPTION — SEE ATTACHED
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
PARCEL NUMBER/5
-O9o7
Y,
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
.COT EVA /sT RRD
OWN R
Healm
PHONE
3.
SEPA
nln9
- C3
DOR s
ROAD WC, -*PRoi PERMJr� S- Z35
Mobile Home
Other(Speciryl
TOTAL $
ZIP
Actual Ser.Backs In Feet / /
Co. Engineer
S-Jzlk
PIxam Iner wore n
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
�
Ort � SoutNEast Wert
1/1/
CONTRHC OR
PERMIT IS NONTRANSFERABLE
PHONE
Slee of Parcel / Z2=:"
4'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
GATE IS
PERMIT NO. TnTal
:7 RESS
ZIP
Type Const Occupancy
Prinklne0
❑Yea ENP ❑ Rep'd.
DESIGNER
PHONE
Valuation Building Area In 59. Ft.
2412
5'
ADDRESS a
ZIP
Main Izpper FlaOrs
Garage Area Store
S
CHANGE OF USE FROM
TO
mrimi or Deckf
FlnlstleC Basement
Un11n. Bf seant
s.
931Em
PERMIT
8/A--d5g- &
02* *L24.00
*22400 to
*224.005
A *000 01
3825
04-23-81
6679
W NEW ❑ ALT. ❑ ADN11 C1 EVE.
], OF ❑ OTHER
WORK XBLO. ❑ FILMS. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE Rep'C.
I Rec'E.
of Rep'C.
of EXEMPTION
ESQRIB WON
Enum. DIz[.
jZn,erz111P
(Area`J/(FEES
COLLECTED
single $
�L.orti-m
'VALU TION SODURCE GA ELECTRIC WATER nSEWER UE CODE
`J�� OF
Z: UTILITIES J�,Y'�I(� ic Private
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 4—IZ—,PI SIGNATURE OF APPLICANT £'
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Healm
a
SEPA
nln9
ROAD WC, -*PRoi PERMJr� S- Z35
Mobile Home
Other(Speciryl
TOTAL $
Fire Ma,,hall
Co. Engineer
uuurlee
PIxam Iner wore n
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
IN TH IS SPACE,
1/1/
SEPA ChecKlin
PERMIT IS NONTRANSFERABLE
Q': -'2,3,-B.1
-SUED
3.8.26 z' *2'2 QU U ¢ �
e ngTe lace
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
GATE IS
PERMIT NO. TnTal
dor T LkN
N 45 � 5 v)o ooh-,aw.l
LoT Size. $9 x l32•�09
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