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1981, 04-23 Permit: 81A-3838 Remodel, Reroof PLAN NUMBE APPLICATION/PERMIT \ PERM,, NUMBER # 1/c,2 3 &/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT i R^3838 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 ` APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS ,, r 1 , ''''.32.,2, LEGAL DESCRIPTION — SEE ATTACHED t, 3* * 0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S ' C G 0' a32 — u�� 2. L ER I �� � . PH r N 14,, �vY� Lc--r- II * C� 0 0 0 3. M�` �I 53, —3z2 7 _ A * C, G o AD� (O 3� ESS 2 7 10 , �,Qc, North � ZIP Actual SetBacks I Feet l 'J (South East 1 (West v 7 i Cr CONTRACTOR PHONE Size of Parcel Zone Classification 1>vrt-Y1 13 w of rw.-td\161 31 • 97.4 -- �jg 5!. x i k 119 - NA .1414 r . 2 18 1 4' ADDRESS TwConst. pancy Sprinklered G 1H 4, O ❑Yes ❑No D Req'd. DES'GNER PHONE Valuation Building Area in Sq. Ft. 5. �e312 ADORESS ZIP Main Floor Upper Floors Garage Area Storage i _ CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 12) -- TYPEVAD'N. Baths No. Stories No. Rooms No. of Dwellings ❑ NEW D ALT. G AD'N. ❑ RPL. 0 MVE. 7. OF _/ ❑ OTHER - WORK �Q BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Re d. of EXEMPTION DESCRIBE WORK Enum.Dist. I Location (Area) 8 Gwr 616. P + K✓rs© i v yi,i ��� FEES COLLECTED C3 CJP"�, I VALUATION Ownership ,„,.__.u_.------ SOURCE GAS ELECTRIC WA ER SEWER SE CODE OF IC,, Public 0 Private 9. UTILITIES 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 Q " 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 nA-'o iii ��� / Mech. DATE OF APPLICATION /���a2/l /���(� SIGNATURE OF APPLICANT _ SPECIAL APPROVALS SPECIAL CONDITIONS: -rt.-0( NAME DATE Plan Check Eh /,1`� G[/ . ( t5'UI- -rt.-0(_ o2, 15) 52- /al (74,,,-1,4 *14//P/ SEPA n Planning V5.k-oor Vka/4v 3.,0 Q a _ Fire Marshall 6&Aa paL II � 0 a Q Mobile Home r'1 ,fin (� u. Co. Engineer Co\/? ,t✓J t, I -.- Other (Specify) UAIAK141 -- Utilities , 1 Z TOTAL $ .n s Exa��° r ,,Q��^ �/ lJ7i — W�L �ii0C W1 WHEN MACHINE VALIDATED IN THIS SPACE, EPA' hecklist THIS BECOMES A PERMIT. •• 1 niciar11,10 �pe PERMIT IS NONTRANSFERABLE 0 4- 7-- 3 8; 8 z 8 Q Q J� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. • L- , i-J Y i- o V ( Iaa I1 0 i1 J-01I c