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1981, 02-17 Permit: 81A-1503 ResidencePLAN NUMBER 1 1-1 APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. U 20 ' LEGAL DESCRIPTION — SEE ATTACHED LOT 2. /t7 OWNER 3 4. BLOCK SUBDIVISION eirZ.o 01..3X-3 PHONE PARCEL NUMBER/S oF- �',a •Z CAE. L att 3 24-4/ cro rr- ?cf- 7 ADDRESS CONTRACTOR J i17L? & ADDRESS Z/ I�Pq 1Zo Actual Set Back,s in Feet North 1* 2E; 'South tO t East' West PHONE Size of Parcel ib`)X 1.5D Zone Classification ZIP Type Const - Occupancy 1Z—/1!^-1 Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER 5. ADDRESS PHONE V ailea tion Building Area in Sq. Ft. ZIP Main Floor Upper Floors Garage Area L7397 Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin- Basement TYPE 7. OF WORK NEW BLD. ❑ ALT. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL E OTHER No. Baths No. Stories '- L��FL No. Rooms LO No. of Dwellings CERTIFICATE of EXEMPTION Req'd, Rec'd. Not Req'd. DESCRIBE WORK 8. Si,Gt c L /—rlsf'(• iUi7V/,zt VALUATION SOURCE OF UTILITIES GAS E ECTRIC Xcf1 i 9ls_ 1///S 4,4.8 WATER a/4) P EWER Enum. Dist. `Location (Area) Ownership Public ❑ Private Gi USE CODE 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 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 DATE OF APPLICATION SPECIAL APPROVALS NAME DATE E Planning Fire Marshall Co. Engineer Utilities Plans Examiner 1.Var LE 'b. SEPA Checklist Building Technician SIGNATURE OF APPLICAN SPECIAL CONDITIONS: LADAL, t'3PIL PERMIT IS NONTRANSFERABLE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $•;64-,o() PERMIT NUMBER' g/A - ADGL3 02* *304.00 *304.00 *304.006 A *0.00 d 15Q22 02-17-P1 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0 150.35 *304002i2 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 1 I .. I 1 1 Ili II III:111;111 III S,91 AREA PER IM 11-9 Mr 1 1 1 1 1 1 1 III II 1 II 1 'i 11 I 1 1 I I I I i -- 1 L I. I 1 I I r i _-- T -- - -- - - --- 1 1 1 i 1 - V . 140110-0L--- 1-I- lm I- --_ Q-- r— — -. O-/ , --- f 1 L = 1 NI 2 N � i I r -- — Qe t -\ i d e� - O- r * T ,�_ Imo. ~ -� - - fi i r iL L 'I ' i - - _;_� 1 tr --r . 1_ r =r - - H - r lirI r r t r _I I--- t--- F r r T -l-- - 1- J --.-i -r Y 1 I I I L Ii I I - I 1t- y �L