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1981, 10-29 Permit: 81B-1291 MH
.UMBER. APPLICATION/PERMIT PERMIT NUMBER I SPOKANE COUNTY — BUILDING CODES DEPARTMENT IS‘Z -1 ..c-t 1 D NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. 'E•'73A- A:11 WEE LEGAL DESCRIPTION — SEE ATTACHED C7 * * 5 0 0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S n ` 2. 3 I erY1 P 1,a'E NQS * 5 0. 0 0 8 OWNER PHONE 3. +�-tww• ►- 1.--t 554----S1 -41 '.� 531-'.�3�T "3 t�F � i; ADDRESS ZIP Actual Set Backs in Feet 1 2 a.0 ,_ ..S.'71'5 e KaST6(240•I aG.OG North 9-6 ISouth East �+ west I CONTRACTOR PHONE Size of Parcel Zone Classification 1 0—2 9 -8 1 a. %.mc 3c��c (.— 2...W% M _ ADDRESS ZIP Type Const. Occupancy Sprinklered IL / 9 wt.L N -p...--5 ❑Yes 0 No 0 Req'd. DESIGNER PHONE V uation 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. 0 AD'N. PL. MVE. 1 4 ` 7. OF 0 0 OTHER WORK 0 BLD. 0 PLMB. 0 MECH. re M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTIONVI DESCRIBE WORK Enum. Dist. I Location (Area) 8. GiA1 is t�iDE DP�S�4�m KbYKE ��` X.1 I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER f USE CODE Ownership ,Ed d LI P Public 0 Private OF ,(I Qw UTILITIES ��t- �cC 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�(�(.* .— NATURE OF APPLICANT I _` 7 -9/ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check _ ` Env. Health KaLl Li-- 10)24 ( SEPA o`027✓4/ At4,CO/) thr of e €CAb mu4s Mobile Hom S C ) "_ re Marshall /I ;41ofD !NC au' ZdNE �� " 41&6, ,i Co. Engineer Other (Specify) £ `4-5-r t A ct P' c OAc-0 Utilities TOTAL $ Jf©.. Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Building TechnicianPERMIT IS NONTRANSFERABLE Qg :23'9-r:58.+1 1 2 9.1 z * 5 a.0 0 d H pert', '' 1 r7y PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL QC