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1982, 04-28 Permit 82A-3303 AdditionPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT PERMIT NUMBER ' NORTH 811 JEFFEASON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LOT N 4/U-1$ Y-c BLOCK SUBDIVISION OWNER 3 I--t v\) E �! ADDRESS P CONTRACTOR 4. ADDRESSZikrAE DESIGNER 5. ADDRESS PHONE ZIPP/' PHONE ZIP PHONE ZIP LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S OF . �-� l J I O' or 4a7`3 1544 — Actual Set Backs in Feet North ZS 4. (South East `J - (West Size of Parcel Zone Classification IZca Z5� A 6,, ‘,;a sAN Type Const. Occupancy Sprinklered ❑Yes ❑No D Req'd. Vation CHANGE OF USE FROM 6. TO Main Floor I Upper Floors Garage Area �7Z Area of Decks Finished Basement Building Area in Sq. Ft. 2? Z Storage Unfin_ Basement TYPE 7. OF WORK 9. VipIEW 0 ALT. V'AD'N. ❑ RPL. ❑ MVE. BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL DESCRIBE WORK Apo i c car.► --r1 ATI ON _ f VALU ❑ OTHER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. 'Location (Area) Req'd. SOURCE GAS OF UTILITIES ELECTRIC WATER SEWER Ownership J USE CODE Public El ��.,/� 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. S E REVERSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION ao SIGNATURE OF APPLICANT_ SPECIAL APPROVALS NAME DATE ealth Planning Fire Marshall Co. Engineer Utilities ?f? l SPECIAL CONDITIONS: Req'd. Not Req'd. FEES COLLECTED Single $ Building 4-7.` IIX% Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ (ID 02 *7500 *75.00 *75.00� A *000 299,5 '04,-20-82 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. CII C rnov Byiik ing Tjchnician PERMIT IS NONTRANSFERABLE Or ` ' 4r 28--82 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 330.3z PERMIT NO. *75.00a-12 - TOTAI