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1981, 03-06 Permit: 81A-2124 Utility RoomN -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 LEGAL DESCRIPTION — SEE ATTACHED ��� 1 • (7 a_i /J� 7J 671/1q– 7/LOT LOT BLOCK PARCEL NUMBER/S��/�!/—/��3 2. 15UBDIVISION OWNE5 n �'J �1>1>�t, � PHONE tick/ �f� 1•/�� 3. L ADDRESS ZIP -7 Actual Set Becks in Feet i" c�j /��-• .�� ul/��/%��•��1/v' �i� �'G�l / North ,�J South c� East West CO TRACTOR PHONE Size of Parcel / Zone Classification J 4. A DRESS ZIP Type Const. Occupancy Sprinklered I ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation dp,x�y_o_� Building Area in Sq. Ft. 5' ADDRESS ZIP Main Floor Upper Floors Garage Area Stgr ge CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. — I TYPE NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. No. Baths No. Stories No. Rooms / No. of Dwellings % ❑OTHER WORK 11 BLD. ❑ PLMB. ❑ MECH. 1-1M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED ( VALUATION SOU CE GAS ELECTRIC WATER SEWER Ownership USE CODE r / 9/ 5- F UTILITIES Public ❑Private (` 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 provisions of laws and ordinances governing this 7i t�fey 01/ type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 INSPECTION Plumbing � DATE OF APPLICATION "'1!� -" ?/ SIGNATURE OF APPLICANT ``' e 'rA� X" �- Mech. SP IAL APPROVALS SPECIAL CONDITIONS:_ j NAME DATE ,�>91F� 1/iJG� s./ OrJJ;! / l ELtiih �. Hed y J � nning 71 s'�� 3-7,_3 6j) e Marshall \_ ngineer �4 es Examijlw ,,9 Itling Tec nlaa PERMIT IS NONTRANSFERABLE DCOIIIIIT CVDIOCC Yf I11C VCAD COl11111 nATC r%C ICCI IARIP`C Plan Check PERMIT NUMBER -.21 02* *44.0.0 4 4. 0.0 N *44.00 A *0.00 21 2.3z 03=06=81 6.479. SEPA I i r Mobile Home i Other (Specify) TOTA L $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 1. .i 0 '3j ' a! 6'-,8 1 212.4.2 f1ATr ICCi�� nr•rf wniT wig *4.400► -