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1984, 02-10 Permit: 84A-1151 ResidencePLAN NUMBER APPLICMION/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 ADDRES 7 -To LEGAL DESCRIPTION - SEE ATTACHED LOT BLOCK SUBDI ISION PARCEL NUMBER/S z. see ae� ow 33 5? OWNER PHONE 3 ADDRE0'1 ZIP Actual Set Backs in Feet r North r South East West �� CONT ACTOR PHO SPECIAL APPROVALS NAME DATE v. Health 4 eklarthall J.Co. ngi r UtilitYes Plans amine► { SPECIAL CONDITIONS: o'P LCA- 94) Bloch 33 Koko mo ` cO-dns 3c'p- Gal lilt k t L- iG_ y Z- Z& j PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) OL, TOTAL $ PERMIT NUMBER e / 1 1 11�;l 7 00 yf WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 02 130-8:4" 115,`112 *366.00°-J, DATE ISSUED PERMIT NO. TOTAL 1 NE llla. as 39 oll Size of Parc I i Zone Classification 13 DIRE ZIP _7 Type/Co st. Occupancy Sprinklered V ❑Yes [-]No ❑ Req'd. DESIGNER �p 5. �r PHONE Valuation ,`fin`} Building Area in Sq. Ft. ADDRESS ZIP Main F oor Upper Floors Garage Area Storage CHANGE OF USE FROM s. TO Ar� f Dec Finished Basement U[tfin. Basement k Iz d o TYPE NEW El ALT. El AD'N. 1:1 RPL. El MVE. No. Baths ho. Stories No. Rooms No. of Dwellings 7• OF �❑ OTHER D4 El WORK BLD. PLMB. MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd.Not Req'd. of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8•Ape GAO, FEES COLLECTED I VAL TION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE UTILITIES W 5r-�1C Public ❑Private I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Single $ 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 c � / / DATE OF APPLICATION['3 SIGNATURE OF APPLICANT Mech. SPECIAL APPROVALS NAME DATE v. Health 4 eklarthall J.Co. ngi r UtilitYes Plans amine► { SPECIAL CONDITIONS: o'P LCA- 94) Bloch 33 Koko mo ` cO-dns 3c'p- Gal lilt k t L- iG_ y Z- Z& j PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) OL, TOTAL $ PERMIT NUMBER e / 1 1 11�;l 7 00 yf WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 02 130-8:4" 115,`112 *366.00°-J, DATE ISSUED PERMIT NO. TOTAL i 50,71. --._ (A . 1 aaxas' ;-.• ._ �ro - Ew,s� t bJ LCA IB, Lo•V t9 t And West ll'oP lob ao C310 V 33 Voyr r o'ro-)As.' ` RRr1C.N',ei2 Q33')(136) a ParCf� kk a85a3 - 3399- 1 6' EM of M e �e��oS� hCme a -o be I3v'4 QY KR fl1 K c o nS4u,410n 'I Krav,K qqa O s tJ .Y �2 2 6T 7 K. i 50,71. --._ (A . 1 aaxas' ;-.• ._ �ro - Ew,s� t bJ LCA IB, Lo•V t9 t And West ll'oP lob ao C310 V 33 Voyr r o'ro-)As.' ` RRr1C.N',ei2 Q33')(136) a ParCf� kk a85a3 - 3399- 1 6' EM of M e �e��oS� hCme a -o be I3v'4 QY KR fl1 K c o nS4u,410n 'I Krav,K qqa O