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1981, 02-27 Permit 81A-1852 Residence, GarageerUMBER- CI 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 . LEGAL DESCRIPTION — SEE ATTACHED LOT . D BLOCK SUBDIVIS ON llir: \TiON OWNER 3. etkV,1-k_fo-Ti-E 4. ADDRESS 1b12L, 'eRae.-{ "ba, CONTRACTOR AME PHONE 94-6 ZIP Cio! o.%) PHONE PARCEL NUMBER/S Actual Set Backs in Feet 0North 70/ ISouth 1044• Size of Parcel \ 6xJcI~� I � East I 0 (West "17. Zone Classification PAL . �71 lk�at�t ttkry ADDRESS 4]A Y._ ZIP Type Const. Occupancy i�.:31(tif-1 Sprinklered ❑Yes ❑No ❑ Req'd. DESIGNER PHONE ValAtation Building Area in Sq. Ft. ADDRESS ZIP Main Floor CHANGE OF USE FROM 6. TO Upper Floors Area of Decks TYPE y NEW 7. OF rf ❑ ALT. WORK BLD. ❑ PLMB. DESCRIBE WORK ❑ AD'N. ❑ RPL. 0 MVE. 0 MECH. 0 M.H. 0 POOL 8 NLy r `1ac(~I cIE ❑ OTHER No3. Baths Garage Area -1OL%4r, Finished Basement No. Stories 1 Storage Unfin. Basement No. Rooms CERTIFICATE of EXEMPTION Enum. Dist. I Location (Area) Req'd. VALUATION SOURCE GAS ELECTRIC SEWER Ownership / USE CODE AIR+��{i///�� 2�•�4�Pn OF Public ❑ Private I]a ,24-E 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. SE REV RSE SIDE FOR REQUIRED INSPECTIONS DATE OF APPLICATION 2 WATER SIGNATURE OF APPLICANT to SPECIAL APPROVALS NAME DATE Env. Health FLU 5 Planning z1z•5181 Fire Marshall SPECIAL CONDITIONS: Co. Engineer 1, • `—,/11.4/CE- Utilities z//q/ Plans Examiner To M P31t..€.wArn 2/24 g SEPA Checklist -50 No. of Dwellings Rec'd. Not 5eq'd. FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL 433");) $ 4:)3. PERMIT NUMBEeR 02:* *4C 30'0 *4C 3.00 to *4C 3.0.06 A *000 167.6� 02(-2C-81 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. BuildiTechnician ) L5- 41 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED 18.2z. *'4015,00aH PERMIT NO. TOTAL -m-. 97.51 j 6ea yoo. R¢S;ae„ce IH5 rerr f2 t Dr. 11 li �000 �a11or+-1-o...K Ga ✓a of e