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1982, 10-12 Permit: 82A-9429 MHPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. . 7O1+ k CST t} LEGAL DESCRIPTION — SEE ATTACHED LOT 2. ' BLOCK SUBDIVISION OWNER 3. iki\ltc_ ADDRESS E., 1ittf, CONTRACTOR ADDRESS DESIGNER 5. ADDRESS \t' E c.,t - PHONE ZIP q Z�L PARCEL NUMBER/S 41.a...3' Lor 5 # ALL. 4_0..4, iTLiG 11 WOOD i_t►t ts:3 ' 9A$2..v. Actual Set Backs in Feet North 4tr3* !South East ?, !West V PHONE Size of Parcel 15x�4O Zone Classification Atl.GjL.134.,2.?Srkft) ZI P Ty De Const. iN Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. PHONE Valyation Building Area in Sq. Ft. %-b44 ZI P Main Floor I Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK P NEW ❑ ALT. ❑ PLMB. ❑ BLD. ❑ AD'N. ❑ MECH. ❑ RPL. VT/M.N. ❑ MVE. D POOL ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Rec'd. Not DESCRIBE WORK 8 i� r z -e. k‘i i OE ij VALUATION OZCOI OOD SOURCE OF UTILITIES GAS ELECTRIC WATER SEWER Enum. Dist. Ownership �/ Public ❑ Private U' Location (Area) USE CODE 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 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 DATE OF APPLICATIOP�4 VC I —Of '2 -SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Heth� y '?/- Pia Fire Marshall Co. Engineer k -D.Rop4g4 to( 1.21P2_ Utilities Plans Examiner SEPA Checklist Buildin echni.ciiaann y�y SPECIAL CONDITIONS: Art es Orn ALLEY, tb.-PRZ4 k -7ectiutr Ead to Ptr Pea -newt AS t.OYu tau£. r cEt P.c t turn U PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile HomA IOO. Other (Specify) TOTAL $ lb0.&a. PERMIT NUv►1f=.R SZ. A -4Z.7 057* *100.00 * 1 00.00 FI *000 94.2.88 10-12-82 61i.79 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10-F1`2-8'2 942.92 *100.002 - flATF ICC! IFn DrorAIT Iur\ TSTA I