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1982, 04-14 Permit 82A-2837 MHPLAN NUMBER •APfLICATION/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 BLOCK SUBDI ISION \� � F. rv�c.tz.ca=-r 2.j OWNER PHONE LEGAL DESCRIPTION - SEE ATTACHED PARCEL NU MBER/S 1 Cpcts4' -c - ADDRESS j 4Zc i1i11=kiJ.`iFl�L ZIP —0r. CONTRACTOR PHONE ' ADDRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7, OF WORK NEW ❑ BLD. ❑ ALT. O PLMB. O AD'N. O MECH. DESCRIBE WORK 8. W t IJ� ►�/id c3:1 C VALUATION 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 SOURCE OF UTILITIES GAS ❑,RPL. M.H. vvtF ELECTRIC PHONE O MVE. O POOL 0 OTHER (/'X 7o) WATER SEWER North Actual Set Backs in Feet at`- T (0c (South East West Size of Parcel Zone Classification Type Const. Valuation b�� Main Floor Upper Floors Area of Decks No. Baths _ j Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Garage Area Storage Finished Basement Unfin. Basement No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum, Dist. 1 Location (Area) Ownership Public ❑ Private Req'd. USE CODE DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Rec'd. FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERMIT NUMBER 07* *50.00 * 50.00 * 50.006 *0.00 283.E 04-14-82 g 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ping chnici n PERMIT IS NONTRANSFERABLE 04-14•-82 283,75 *50,002r2 - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL