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1981, 10-12 Permit: G81B-0556 DamperPLAN 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 DE:CRIPTION - SEE ATTACHED LOT BLOCK UBDIVI ION PARCEL NUMBER/S 2. OWNER PH N ��-03/ 3. ADDRESS ZIP Actual Set Backs in Feet .S c,-, -&,, {� / �%��.p (o North South East West CONTRACTOR PHONE Size of Parcel Zone Classification 4. ADDRESS ZIP Type Const. Sprinklered /,. )/tJ /.1.� , 4:414-4eotg*,z- T' 51,912V FOccupancy ❑Yes ❑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. No. Baths No. Stories No. Rooms No., of Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF ❑ OTHER ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. WORK of EXEMPTION 7Req'd. DESCRIBE WORK Enum. Dist. Location (Area) �1 8• t'✓S %La /% ��G7C d� t�+� /`r��v� rater' I �v%/t �/Tii l lu f' FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. OF 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 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 INSPECTIONS Plumbing DATE OF APPLICATION 3G SIGNATURE OF APPLICANT -' Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE �"" �� ,/��.yF,_ T !F� 5� Plan Check Env. Health i, SEPA Planning Fire Marshall Mobile Home Co. Engineer Utilities Plans Examiner Building T Inmcian` �' PERMIT IS NONTRANSFERABLE V-1 I c 1 DCDIIAIT CVDIDCC r1NC VCA. FRr1M IIATP r1F ISSIIAIURF Other (Specify) TOTAL $ / y- C c / 1PERMIT NUMBER li3 - o �5� 04* * 1 9,00 * 1 9.00 U * 1 9.006 A *0,00 00 5515 � 10-1 281 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 10-12=81 55.6' MATE MIZI Ir -n DCRhAIT KIn *19.0'0 a� - Tr)T0 I n C L u u