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1981, 06-09 Permit 81A-5670 Siding, Fascia4. PLAN NUMBER APPLITION/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 E • Broacikoc . LOT BLOCK SUBCIIVISION nI[ OWNER 0 tiLlf 1 °I VJ 3 C M-61 L. t-tiwl u k ADDRESS E . g '{- ).a Brc�a�u_lcc.ti CONTRACTOR rn e.v .0 Braiq't f3 ( ni-roti t-S ADDRESS DESIGNER iblo ArT)ncad 5. ADDRESS &/PHO4- ZIP PHONE PHONE LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S I' (} 4 -- o4c 1 Actual Set Backs in Feet North 'South East (West Size of Parcel Zone Classification Type Const. Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Valuation Building Area in Sq. Ft. ZIP Main Floor Upper Floors Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑ NEW ❑ BLD. DESCRIBE WORK ❑ ALT. O PLMB. ❑ AD'N. O MECH. ❑ RPL. ❑ M.H. O MVE. O POOL xVALU/ATION SOURCE 1� GASG ELECTRIC WATER 9. 423b.a) UTILLITIESi SEWER No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Enum. Dist. Location (Area) Ownership 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 Req'd. SPECIAL APPROVALS NAME DATE Env. Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist SPECIAL CONDITIONS: I PERMIT EXPIRES ONE YEAR FROM DATE 0 .SUANCE DATE ISSUED Rec'd. Not Req'd. FEES COLLECTED Single $LH" L) Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) " t TOTAL $ "'F .00 PERMIT NUMBER 02* A 56692 O'6-09-81 z 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. PERMIT IS NONTRANSFERAB 0�6;'9-81 56`7:iZ' * 44,00 * 44.00 * 44.006 *0.00