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1982, 10-12 Permit 82A-7863 Soffit, FasciaPLAN NUMBER PERMIT NUMBER cJC.� , 7 G bO 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 LOT B OCK IT JIJULJJVI ivry • OWNE 3. F�I'l(� >I )e.hlrPn ADDRESS E . VI aD, CONTRACTOR G J (.�4 / Bin 1 4' ADDRESS lit. •A 12 (r. DESIGNER 5' ADDRESS CHANGE OF USE FROM 6. PHONE ZIP PHONE ra g-4%4 ZIP q Ct a o1.0 PHONE ZIP LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/5 Actual Set Backs in Feet North South East West Size of Parcel Type Const. Valuation Main Floor Occupancy Zone Classification Sprinklered Des ❑No D Req'd. Building Area in Sq. Ft. Upper Floors Garage Area Storage TO Area of Decks TYPE 7. OF WORK ❑ NEW 0 ALT. 0 AD'N. ❑ RPL. 0 MVE. ❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. ❑ POOL DESCRIBE WORK J 0.1 VALU 10 SOURCE GAS OF 9. 1 UTILITIES ELECTRIC WATER $_OTHER epat SEWER No. Baths Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Unfln. Basement No. Rooms No. of Dwellings Location (Area) Ownership Public ❑ Private ❑ Req'tl. Rec'd. 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 5 2- SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: Not Req'd. FEES COLLECTED 2 Single $ O� ✓� Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) b0 TOTAL $ 3(0 •-- 02* *3600 *36006 A *0.00 7862 i 09-07-82 z 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Build ici, n PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE o i'9,1:'e .7.'718"2 DATE ISSUED 786,3- PERMIT NO. *3 6.100(lip