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1982, 12-10 Permit: 82B-1800 InsertPLAN NUMBER APPLIC. BION/PE PERMIT NUMBER 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 r .�� T'I,— LEGAL DESCRIPTION — SEE ATTACHED LOT BLOCK PARCEL NUMBER/S 2. I ISUBDIVISION OWNER _rA lU '1 �,� i t �+t d 3. C PHONE Q' ADD ESS zi P ,, / Actual Set Backs in Feet Y North South East West CONTRACTOR PHONE �- Size of Parcel Zone Classification err 4' ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes []No hof` c.r . DESIGNER DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. ADDRESS ZIP Main Floor I Upper Floors Garage Area Storage *?CC�Oti CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement TYPENo. Baths No. Stories I No. Rooms No. of Dwellings ❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7, OF �/ ❑ OTHER ❑ BLD. ❑ PLMB. Z MECH. ❑ M.H. ❑ POOL l L 2 L CERTIFICATE Req'd. Recd. Not Req'd. WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8. L( CFL.L � / i�, rt; I -PL— VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE Q, UTILOITIES Public ❑Private ❑ I 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 01 Mech. DATE OF APPLICATION SIGNATURE OF APPLICANT ••- - SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SPECIAL CONDITIONS: PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Home Other (Specify) TOTAL $ Z-0� WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ,f a—B 2 ]N8 0.`0 z DATE ISSUED PERMIT O. * 2 0'-14a4�t —