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1981, 03-13 Permit: 81A-2391 Remodel PLAN'ivJE2 APPLICATION/PERMIT [PERMIT NUMBER 3/49/g/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT I gkY'`-2311 C) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. E_.12Zd 4T LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDIVISION PARCEL NUMBER/S * * 3 0024631_3,60i 0 2. 1-2-3 2 E.�?;Q� 1�"CS ZNu A00. 24531-34 1 * 38 0 0 rn OWNER PHONE * 3a006 3. CAR. LEL ,.._._.. 8ADDRESS ZIP Actual Set Backs in,Feet A * O.0 Q E. /La 4TO l2L(o North ISouth1s`�t�'G'East (West CONTRACTOR PHONE Size of Parcel Zone Classification 239.0 2. K. 3u Nc u 46A-4435 q0 X 15 g RES. rilDbtLE AMIE 03- 1 3-81 4. ADDRESS ZIP Type Const. Occupancy Sprinklered E. 37 . 03 Lt Sct2o7 A) R.3 Oyes ❑No 0 Req'd. -5 6 4 7 9 DESIGNER PHONE Valu ion Building Area in Sq. Ft.5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _ (2S CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No.Baths No. Stories No. Rooms No. of Dwellings TYPE 0NEW 0 ALT. 0 AD'N. eRPL. 0 MVE. 7, OF 1 0 OTHER CERTIFICATE Req'd. Rec'd. Not Req'd. WORK gBLD. I=1 PLMB. 0 MECH. 0 M.H. 1=1 POOL of EXEMPTION DESCRIBE WGRK , DRJ ) tL 2 .R.ths• Enum. Dist. I Location (Area) ' �e n �r ./�,, �yf ` FEES COLLECTED 8•Relit\LC r r. ink, J01.51S, 1 IUrtLL4 �06'C 2 l lEtZ, Lvo2,DlsT5 i VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9V5a©bp :UTI LLITIES SE?Y 1C Public 0 Private IN 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 this00 Building G7 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 fREVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing 7i ( Mech. DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE 'TERMtrE. Do"AGE Plan Check Env. Health hif•6 R P 1NIC-12.LO2 UL)00-C. LOQ 13 1St SEPA 2 Planning Q Mobile Home 14, Fire Marshall -1 0 Co. Engineer /� Other (Specify) (,yc' ���QkQ4. Utilities TOTAL $ 35-o3 Plans Examiner I� V . (- L, WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Bu!!il''��di�ngka. chniician PERMIT IS NONTRANSFERABLE O'3ji '1i13'��.,:1, 2'3 91z *3 8.0 0 a �,'r/dj7 ) PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL 9✓ // G