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1981, 03-10 Permit P81A-2237 Soft WtrPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASH IN :-TON 951:60 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. r 9/ oL1 ' (? .t.k t-i'f LOT BLOCK SUBDIVISION 2. OWNER_ 3 ADDRESS CONT•ACTO4 LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S PHONE ZIP Actual Set Backs in Feet North (South East (West PHONE Size of Parcel ' AD . • ESS DESIGNER 5. ZIP Type Const. PHONE Valuation Occupancy Zone Classification Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement 7. TYPE OF WORK ❑ NEW ❑ BLD. DESCRIBE WORK ❑ ALT. PLMB. 8. 21, VAL ATION SOURCE OF 9. ` UTILITIES GAS ❑ AD'N. D MECH. ❑ RPL. D MVE. ❑ M.H. ❑ POOL ELECTRIC WATER ❑ OTHER SEWER No. Baths No. Stories 1 CERTIFICATE of EXEMPTION Enum. Dist. I Location (Area) Ownersh ip Public ❑ Private ❑ USE CODE 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 DATE OF APPLICATION ' —/ SIGNATURE OF APPLICANT No. Rooms Req'd. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: No. of Dwellings Rec'd. Not Req'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER ,A-22.i7 03* *3,00 *300 *3,00'6 A *0,00 ES 223,5g 03-10-81 z 6479. 03* *200 *2.00 *2.00U A *0.00 cp 223.62 03-10-81 2 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Building Technic' n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE 03:;-7Q-81 DATE ISSUED 223.7z *5.00aJ - PERMIT NO. TOTAL