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1981, 08-14 Permit: 81A-8206 BarnArrLR R I none rmnmu 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1 2. JOB ADDRES c.,),6c0VI I LOT BLOCK SUBDIV SIONe''9C9r2- 1111 LEGAL DESCRIPTION — SEE ATTACHED OWN 3. QLD PHONE PARCEL NUMBER/S 1 4-y o r — flau 7 7 t �Y� 112 r, 215 ADDRESS .12--1 DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. TO PHONE ZIP PHONE ZIP Actual Set Backs in Feet North !South (East 7 !West SizeofParcel rjd 9,-V Tve4onst. Occppancy Zone Classification �L S - Spdfnklered ❑Yes No ❑ Req'd. Valuation �3pG-0 Main Floor Uppe Floors Building/�Afree-a in Sq. Ft. Garage Area o Storage Area of Decks Finished Basement Unfin. Basement TYPE 7, OF WORK t❑ ALT. 0 AD'N. 0 RPL. 0 MVE. 0 PLMB. 0 MECH. 0 M.H. 0 POOL DESCRIBE W RK 8. tz'CiX VALUATION SOURCE OF 9. UTILITIES 0 OTHER GAS LECTRIC WATER SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Enum. Dist. Ownership Public 0 PrivAte Location (Area) L USE CODE I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on reverse side, rand 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 ,i SIGNATURE OF APPLICANT Az-PLeea SPECIAL APPROVALS NAME DATE Env. Health &6A4 001 Planning Fire Marshall Co. Engineer Utilities PI s Examiner IffetSEPA Checklist B rild�ri SPECIAL COe NDITIONS: I A -1r J12V1YVIr(.r7 , S'ro►Z`1- cl% gra �� .--, l sT 'r) PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Rec'd. Not Ijkq' FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ 44 $�aA 6j'Zc7t'' 02* *44.00 *44.00 82052 0.8-14.-81 2 6479 WHEN MACHINE MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. i jl 1 DATE ISSUED 821,6.1 *41100 _ PERMIT NO. TOTAL �- a 0 0 w J azV2. or- v2._ or 6, 2A- tAl -7-z I r -r' -4 he7r,Tl ()hi l3' -.CC -1 7 7