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1982, 08-04 Permit: 82A-6793 Addition
PLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER _ A L Cl SPOKANE COUNTY -BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 0 2 * * JOB ADDRESS � L LEGAL DESCRIPTION - SEE ATTACHED 1. � 00�,�'%> �Q 'fl * 1200061 LOT BLOCK PARCEL NUMBER/S ���� �o�' A *0.00 2. �-2ISUBDIVISION�Kvly <mdr ) �, OWNER PHONE - GOT l 6 6 x 32 3. "' ADD SS ©C� ZIP/ � Actual Set Backs in Feet _ � `- (a 10 08 —02-82 North South East West CONTRA O PHONE Size of Parcel Zone Classification G lG '5 6479, 4' ADDf2ES5� Type Cqnst. ccu ncY Sprinklered •VI �O171-1 t�v1 ❑Yes [-]No ❑ Req'd. DESIGNER PHONEI Valuation Building Area in Sq. Ft. 1,3 0 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage - CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ EW El ALT. AD'N. El RPL. ElMVE. 7, OF ❑ OTHER Rec'd. N t eq'd. LTJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. WORK of EXEMPTION I DESCRIBEcvVORK Enum. Dist. Location (Area) FEES COLLECTED 8 ✓ , � � PVTJO VALUATION SOURCE GAS ELECTRIC WATER WER Ownership SE CODE ;r 9, i 1UTILITIEOF S v Public ❑ Private Single $ 1 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 INSPECTI NS Plumbing DATE OF APPLICATION SIGNATURE OF APPLICA `� Mech. n SPECIAL APPROVALS SPECIAL CONDITIONS: ` NAME DATE � I.� u G ieal;h , Iv eer Ut'litie ` Plans Examiner PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA r� r� Mobile Home Other(Specify) TOTAL $ k�-o WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 08-'0'4-'8'2 679,325 *120.0000 - ,I DATE ISSUED PERMIT NO. TOTAL T�