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1981, 07-28 Permit: 81A-7579 Remodel Pi_. ,.0Mt• APPLICATION/PERMIT PERMIT NUM•t E:R SPOKANE COUNTY — BUILDING CODES DEPARTMENT SI A -7571 .- 01il NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 02 * * 50,00 1. � � E. ! - cp0 r to fl b LEGAL DESCRIPTION - SEE ATTACHED * 5,, 0 0 LO LO K SUBDIVISION tri PARCEL NUMBER/S as.s�t - .2 a5- —9 Y 2. �] t * 50006 OWNER PHONE Q. 1 ), re PrS 1..,` I '"1"'© IJ` -6 1 3. C--c O \ �. ei\\ �Co 04/09 1 A * 0. O O 8 ADDRESS ZIP Actual Set Backs in CO a % E 1 -t' 1� Sq o4 LA\ , a t AO H I i f neva— I 7.8 �.. North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 0 7-2 8-8 1 4. t\ o-w...c> o Iffier ZM -(-10 Z ADDRESS ZIP Type Const. Occupancy Sprinklered 6 1.7 9, 'VP "p -3 oyes ❑No 1=1 Req'd. DESIGNER PHONE Valetiilo`n Building Area in Sq. Ft. 5. ADDRESS ZIP Main FloorJ Upper Floors Garage a Storage — Zuc. CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No.Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. "'3 ra 7. OF OTHER I WORK ❑ BLD. D PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not F}�eq'd. of EXEMPTION v DESCRIBE tI4)RKO Enum.Dist. Location (Area) ' 8.`gp.YINDC(e,( I V r ® }�i aleIDeEtirl ro w. I FEES COLLECTED I VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership t4 USE CODE 9. 06-0UTIL OFITIES Public 0 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 ©•Of 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 7/16 /S'/ SIGNATURE OF APPLICANT �a a-,41111, //„) Mech. _ SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health 'OT. Qv.G SEPA n Planning :7<_� — w FireMobile Home -I Marshall L Co. Engineer Other(Specify) Utilities TOTAL $ Abe' Plans Examiner �''j-c lZ;r Y) WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Buildin �echnici n PERMIT IS NONTRANSFERABLE O'7; 'E2 &' 8h 1 7 5 7.9 z° *5 010 a 0 L���� � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL