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1982, 01-26 Permit: 82A-636 Insert
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT r� 1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 (yi APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 0 a * * 2 0. 0 0 JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED * 2 0 0 1. 10504 East 24th LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 2 0 0 0 2. t+ * r. n 0 3 OWNER Robert L. Gudgel PHOp8-3339 - 63 ADDRESS ZIP Actual Set Backs in Feet 10504 East 24th 99206 North 'South East 'west 0 1 - 2 -8 2 CONTRACTORz� PHONE Size of Parcel Zone Classification 6.4 7 9 L-F 4. ADDRESS ZIP Type Const. Occupancy Sprinklered CAMS. fl ME Yes ❑No 0 Req'd. - DESIGNER PHONEValuation Building Area in Sq. Ft. 5. TLA za. krA(, 9r-s54y8 ADDRESS© VD y g2' `� ������ ZIP9R 90Z Main Floor Upper Floors Garage Area Storage - CHANGE OF USE FROM tl �J TO Area of Decks Finished Basement Unfin. Basement 6. OP6rAt A4. -P PU9C :N5Egr TYPENo. Baths No. Stories No. Rooms No. of Dwellings 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 7 WORK 0 BL^.r. ❑ PLMB. ItMECH. ❑ M.H. ❑ POOL ❑ OTHER - CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION DESCRIBE WORKEnum. Dist. I Location (Area) T 8. Installation of Insert FEES COLLECTED l VALUATION SOURCE GAS ELECTRIC WATER 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 an other state or local� egulating construction or the performance of construction.SEE REVERSE SIDE FO-CM IRED INSP'L 111:2) Plumbing .r �� Ili DATE OF APPLICATION 1-20 —S2, - - • : SIGN T 'e ' I '' . 44 0 I( • Mech. 20.00 SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health SEPA n `- Planning C) O Fire Marshall Mobile Home A Co. Engineer Other (Specify) Utilities 20.00 TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. + ding Technician PERMIT IS NONTRANSFERABLE Q1,:-•2.6 78'24 6 3.6 z *2 0.-O 0 1.1- - >, , �� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL