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1981, 04-24 Permit App: 81A-3869 KitchenYLHIV IN%J IVIO Mg I 1(/ Y / APPLICATION/ PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT PERMIT MJMBER /A9 Y6, ? NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS L BLOCK SUBDIVISION 4. O NER, PHONE 4. ZI�� 9. -/4, -t ADD ESS ZIP CO TRACTOR PHONE '/ sdA e 4 / i.,/ A DRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7. OF WORK NEW ❑ BLD. ❑ ALT. ❑ PLMB. ZI P PHONE ZI P TO 14 AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. 0 POOL ❑ OTHER LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S /��� —l)�i tJ 7 A rA4CHED A_ECz.4,L Actual Set Backs in Feet North Jam' (South East //, West3i Size of Parcel Zone Classification c Type Const. Occupancy S:�/.....-•41 Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Main Floor • Upper Floors Garage Area D 8.a ESCRI, E WORK A UATION SOU CE GAS ELECTRI 416 OF . -js , UTILITIES 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 WATER SEWER Area of Decks No. Baths Finished Basement Storage Unfin, Basement No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Req'd. Location (Area) USE CODE DATE OF APPLICATION SPECIAL APPROVALS NAME DATE Env. Health 4 a3-1 &I ,Pre kt Planning Fire Marshall Co.''JEngineer Utlliti Plans Examiner 4A210 den,Ler ecklist SIGNATURE OF APPLICANT SPECIAL CONDITIONS: Ownership Public ❑ Private Ni Rec'd. Not Req'd. FEES COLLECTED Single $ '/ Building 41�'` Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) 16 TOTAL $ � 02.* * 4400 * 44.00 ti 38552 04.` 23-81 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. cii C rnav Buil ing eciciarl„ i1 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Plitt + ''4'; 18.1 DATE ISSUED 3 8'6:9'z PERMIT NO. *,4' 4 010 a g TOTAL PACT /%'}& Stybi1 Belehet ,i). 222C Goleta,' 'Riad . SpAnni e Wa . l>f 3 0,6, T fact 6 , the north 3251 f edt t ereof of Coleman,s Subdivision in Spokane County,Wa .as per map thereof recorded inBook'i°' ofPl&th,page I0. ALSO, TRACT 6, EXCEPT the south 95 feet thereof, of MATHER,S SUBDIVISION CF FART OF TRACT 5 and 4 IA ASSESSORS PLAT Nc.I, in the southeast quarter of :gee. I2,Township North Range 43 East of the Willamette Meridian, in Spokane County, . asper map thereof recorded in Book 'T' 3f Plats, page II. In Bounderies of: Orchard Avenue Irrigation Dist, No.6. Bounderies; of the Spokane Valley Fire Protection Dist. .o. LOT SIZE 179 X 95 Feet. /79 NoRTf�—� CoI Em/4N0O/f© 95-' 1Ew ff DOhTi°eJ 3, x./6, 6.0 pie E wAY L a.fRAC* € 35' —�