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1982, 03-15 Permit: 82A-1816 Residence
(PLAN NUMBER i 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 1 LOT �UB . ION 146 T7-4 2. /0 BLOCK OWNER LEGAL DESCRIPTION - SEE ATTACHED AA y Re') E s rnrrs At. PHONE 14 ssc G. ZIP i•y c' ry 917.44/y PHONE 3. GC? ; 2 s . ADDR S •©•fix CONTRACTOR 4. - =4/1/1 C.-, • ADDRESS PARCEL NUMBER/S -- off'/o. ZIP DESIGNER 5' ADDRESS PHONE Actual Set Ba ks in Feet North % o i (South go ` LEast / Z1 r (West 40-4 ~/ Size of Parcell 7044`- ltq,igE-1e ons. 7ccu Type Const. O ancy vi /11 Valua AA tion Zone C ssification 1 L' rkv» Sprinklered ❑Yes ❑No ❑ Req'd- r Building Area in Sq. Ft. ZIP Main loor Upper Floors I Garage Area SL Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfi Basement TYPE 7. OF WORK ,��' EW ❑ ALT. t - LD. ❑ PLMB. ❑ AD'N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Stories CERTIFICATE of EXEMPTION No. Rooms Req'd. No. of Dwellings Rec'd. Not Req' DESCRIBE WORK ACC � 8 /1-1'G it PAM ACCtOt1C� VALUATION 9. SOU CE OF UTILITIES GAS t'/pate cAl2.4• ELECTRIC 415. WATER SEWER Enum. Dist. Location (Area) t Ownership Public ❑ Private td� USE CODE 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 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 DATE OF APPLICATION SIGNATURE OF APPLICANT '- SPECIAL APPROVALS SPECIAL CONDITIONS: L t (i'v ` S ` 2 4 C 1J1 r✓{ ) NAME DATE Planning Fire Marshall Co. Engineer Utilities Plans Examiner -r Tom' Z 9 /5I S •A hecklist Builtlin• ec PERMIT IS NONTRANSFERABLE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT N'&'MBER,- 02* *38200 *38200 *3'82.006 A *Q00 16292 03-09-82 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 03,!-15-82 18162 *382,0021---' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL