1984, 02-17 Permit: 84A-1357 Damper PLAN NUMBER APPLICATION/PERMIT PERT IT NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT J
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOA ADDRESS MC , , LEGAL DESCRIPTION — SEE ATTACHED
1. a a i C "_
LGT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
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ADDRESS _, P9 Actual Set Backs in Feet
` ��, North 'South East 'West
CONTRACT tHONE Size of Parcel Zone Classification
re6
4. ADDRESS �- /�y/� Type Const. Occupancy Sprinklered 4, r; r, r
/ ( G 'j (f/ d 9y'20.6 ❑Yes 0 No 0 Req'd. c
DESIGN R PHONE Valuation Building Area in Sq. Ft. (`, �x
5' ¢ADDRESS ZIP Main Floor Upper Floors Garage Area Storage I _
{— ' a
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 66. is'
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE .NEW ❑ ALT. 0 AD'N. 0 RPL. D MVE.
7. OF /`N0 OTHER
WORK
0 BLD. 0 PLMB. 'MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
8 DE RIBS R /7 �, - Enum.Dist. I Location (Area) T
/c� ) ,��f�' FEES COLLECTED
VALUATION 5/ l
SOURCE G� \ ELECT RI W ER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑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
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 INSPECTION Plumbing
DATE OF APPLICATION C?,— >51 SIGNATURE OF APPLICAN
� l ....ii-IINY Mech.
SPECIAL APPROVALS SPECIAL ONDITI NS:
NAME DATE AeA..".10,0, Plan Check
Env. Health
mac4971'44
s �/J/ SEPAPlanning /AZA _-�j � LJ O
Mobile Home w
Fire Marshall
42,^.-",1/2 -1 --)'-‘____ '''7/C.C) 741/ --I
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Co. Engineer Other (Specify)
Utilities
TOTAL $ __
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
suer,
Building Technic' / PERMIT IS NONTRANSFERABLE 2 '-l� I_8~4 l 3 ,5,7 - * 2'0. 0 0 2 �.
�'f °1 7 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL