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1982, 01-11 Permit: 82A-198 Insert
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — Bb LDtNG CODES DEPARTMENT gt 81..x+--- iii e VNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES C. 0 JOB ADDRESS t� * * 2 1. rµ LEGAL DESCRIPTION - SEE ATTACHED '- LOT 1. BLO K SUBDIVISION PARCEL NUMBER/S 2. * 2000x OWNER PHONE A `-. ` 3. &_i.,E LrA9eJVT C1‘,22—." 3 iADDRESS ZIP / Actual Set Backs in Feet 1 C.7 2+ - C.. . t%O i N "/ictiz-)�e, North 'SouthEast (West l; 1 - 'I 1 -8 2 CONTRACTOR PHONE Size of Parcel Zone Classification s 4. Xrm� '' 6479 ADDRESS ZIP Type Const. Occupancy Sprinklered '5ArnE Dyes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 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 ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE. 7, OF ❑ OTHER WORK I=1BLD. 0 PLMB. MECH. I:1M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE WORK - Enum. Dist. I Location (Area) ' 8 Zc ao -- C-(_. .A t -6 F I R.E i+Ac-L� I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE OF 9. UTILITIES Public 0 Private 0 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 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 construc . or th performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing - DATE OF APPLICATION'" f—H–CJ L SIGNATURE OF APPLICANT Mech. *.20 ©d SPECIAL APPROVALS SPECIAL CONDITIONS: � J NAME DATE Plan Check _ Env. Health SEPA n Planning C) Fire Marshall Mobile Home -J ice: Co. Engineer Other (Specify) Utilities TOTAL $ '" Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. , .,4 r a'2. 19.8 0 *2 0.0'0 a 17-I Building Technician PERMIT IS NONTRANSFERABLE , +' — (9- 6J.e14.9Z/11 f' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL