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1982, 08-06 Permit: 82A-6863 Addition BarnPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — P.JILWNG CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. 2. 3 4. JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED L�,y T BLOCK S By 15(O N G—i1 OWN�� • ADDRESS 4-4 COV 1 ACTOR ADDRESS��ilL��' DESIGNER 5. ADDRESS PHONE ZIP PHONE ZIP PARCEL NUMBER/S 32_15744_ Dori:2 Actual Set Backs in Feet North 'South Size of Parcel I.2 7? 3O 1 East !West CC-) Z e lassslfication Type fCst. OccgAuppaancy Sprinklered ,I of r! Dyes ❑No ❑ Req'd. CHANGE OF USE FROM 6. TO Valuatigr Main Floor Building Area in Sq. Ft. Upper Floors Garage Area Stora e Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK ❑ N W ❑ ALT. L7 AD'N. BLD. ❑ PLMB. ❑ MECH. ❑ RPL. O M.H. O MVE. O POOL 0 OTHER No. Baths No. Stories No. Rooms No. of Dwellings 8 DESCRIBE WOR fr oo �o / 24 /0 rt,464- VALUATION G S ELECTRIC SEWER SOURCE OF 9. (UTILITIES CERTIFICATE of EXEMPTION Req'd. Rec'd. Not R. q'd. Enum. Dist. I Location (Area) Ownership �USE CODE Public 0 Private (d 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 gulating construct- n or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO -4 3 / S4IGNATURE OF APPLICANT SPECIAL CONDITIONS: DATE OF APPLICATION r SPECIAL APPROVALS NAME DATE Env ealth Planning Fire Marshall Co. Engineer Utilities PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT HUMBER � v 02* *47.00 *47.006 A *0.00 67892 08-04-82 2 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 0$x'86-8,2 686.35 *47.00a� DATE ISSUED PERMIT NO. TOTAL y y 1.670. 4 tor( Z