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1982, 06-01 Permit: 82A-4355 MH
—— _.] PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER" SPOKANE COUNTY BUILDING CODES DEPARTMENT AZA 43s5 0..i NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES !1 JO ADDRESS C 7 * * 5 0 0 0 Ca � LEGAL DESCRIPTION — SEE ATTACHED * 5 0,0 0 LOT BLOCK SUBDIVISION ION PARCEL NUMBER/S r r, * 5 0 0 0 6 2. 19 2.0 I pi �� -1 t4--r Avoiii� �+ a 3 12r7((N ') A * 0 00 3. DIC 5 ' ion, 435.�i2 D?q..1 SS _ Actual Set Backs in Feettt r afro L01-' 1North 2— ISouth East (West I5 0 b—0 1 —8 2 CONTR CT R !I:22E Size of Parcel Zo Cla sifi ation 4. 6.0x- ! 2.2 2 6479, ADDRESS ZIP Tv C nst. O cupancy Sprinklered "',4 ❑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. TYPE No.Baths No. Stories No. Rooms No. of Dwellings NEW ❑ ALT. ❑ AD'N. ❑ PL. ❑ MVE. 7. OF ❑ OTHER WORK ❑ BLD. 0 PLMB. 0 MECH. M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) s. M 0 t2j i I.� i-1p lei--jam FEES COLLECTED - ©� , VAALUATION SOURCE GAS ELECTRIC 2NATER SEWER Ownership Ownership USE CODE 9. ."--620-4.5t--1) UTILOITIES ✓- 7 {, /7 1 i — Public ❑Private D /• 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 G SIGNATURE OF APPLICANT 111.2, �- _ .44... __,_ , ech. SPECIAL APPROVALS PECIAL CONDITIONS: NAME DATE rvjNI t\1 Q�6[ ow._ w. rt^ 1✓ . iJUV' Plan Check Env. , ealth '4 ' 4 SEPA n Plan J r • — Cid iii- ,,,, qt./ ozisc Mobile Homere M. shall Coon eer ��i l f�„ ., Other (Specify) CC99 11 Utilities �^ ) TOTAL $ �� Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. It , Building - hnici,'— �-- PERMIT IS NONTRANSFERABLE 0•6 0 1-'8 2 4 3 5,5 z * 5.0. 0 0 d - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL w_r 2-‘) w; u T 15 0454Z1P ksI4f Kyo