1982, 06-11 Permit: 82A-4880 AdditionNDMBE� 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
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LEGAL DESCRIPTION —SEE ATTACHED
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LOBLOCK
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PARCEL NUMBER/5
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OWNER
PHONE
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ADDRESS
Reg'J.
Actual Set Backs in Feet
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North SOutM17i0 East �31 W¢et
CONTRACTOR
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Size of parcel Zone Claszllira[lon
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DESIGNER
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Valuation Bullding Area In SO. Ft.
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5'
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ADDRESS
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Main error Toner Floors
Gerege Ared
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to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
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performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
CHANGE OF USE FROM
TO
Area of Decks
Flnizrvetl BaSem¢nt Vn}i O. Basem¢nt
PERMIT NVMBe
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TYPE NEW ❑ALT. AD'N. ElRPL. El MVE.
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CERTIFICATE
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Rec'E.
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�J aLD. CI FILMS. El MECH. ElM.N. El POOL
WORK
of EXEMPTION
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DESCRIBE WORK
Enum. DIZL
Location (Area)
S.Q(J �IT'tOI� i6 �(�-E�--apENCS �"acwN R4nrtnl
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Opo¢rsrviP USE CODE
F
OPublic OPnvateIII
9. UTILITIES
Single $
1 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 of laws and ordinances this
_
provisions governing Building .C>a
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
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DATE OF APPLICATION 7// 3 /ry 'Z/ /<
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SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS: Go,JT. l.�ec?- MyyGvt�i-�-1hQF
NAME DATE
Plan Check
Env
SEPA
Planning
Fire Marshall
Mobile Home
F., Engineer
Other lS.Ocicy)
GB's
TOTAL $
Plans E L
eC�
IN THIS SPACE.
WHEN MACHINE VALIDATED
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THIS BECOMES A PERMIT.
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B Ing -PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
0, 6�4Atlf-8 21
DATE ISSULED
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PERMIYr1L0. 0 1 U 0. B(yl
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