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1981, 10-01 Permit: 81B-1037 Insert
IPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER It SPOKANE COUNTY — BUILDING CODES DEPARTMENT i31$- 0\21 r NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. E , ko vt G �A LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 1 0. 0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S d.OS -t"Ug43 * 1 C C 0 rn 2. Uzi'ei .4 L..o J AC.. ST%z t7 'v./ of: e A cb. 1 J. OWNER PHONE -rc 1...6r 4 tSu- 4 1-Atli:QEt25tTv'Lwcc 1 0—0 1 —8 1 3. .r1ci� LoiA. t*(.�c -11c;. — -s,;5 ADDRESS ZIP Actual Set Backs in Feet.* •` 12.x.41'. G - k©Y >� G' "1 1* g).0e: North 'South East 'West 6 4 7 9, CONTRACTOR PHONE Size of Parcel Zone Classification ' A-if C. t IC),( t A A. 5..L3 4. ADDRESS ZIP Type Const. Occupancy Sprinklered A.lert_c, ._14 3 ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Val tion Building Area in Sq. Ft. r- a 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage — CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. TYPENo. Baths No. Stories No. Rooms No. of Dwellings NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7, OFElOTHER its WORK u BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Rep'd. of EXEMPTION V DESCRIBE WORK Enum.Dist. Location (Area) ' FEES COLLECTED 8. 'me.r..:: GL 1.0-04vc ct VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership vi, USE CODE #SOC.). UTI MIES "-- 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 t0.t..s 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 /...,17-7—. g..77 SIGNATURE OF APPLICANT A-/.�_L Mech. 0 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA n Planning CD — Fire Marshall Mobile Home w J Co. Engineer Other(Specify) Utilities TOTAL $ tC ..FX3 Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. g66'...3 BuildingTechnician PERMIT IS NONTRANSFERABLE 1'�js Oi'x,'81 1 3.7 z *1 Q'0 0 2. IJ- ' ' 33rn°i-- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL