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1982, 09-02 Permit 82A-7772 2nd Story to Shopa-2,9 .2i3 I Pit I— r O..11%arpat I Io Ir / 1 %=1i i4I l 1 SPOKANE COUNTY - h;NG CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 PERMIT NUMBER' ` jZA --7-1-1 ?- 2. JOB ADDRESS APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES /Lf zz 3 BRO/V=INAY LOT BLOCK SUBDIVISION 3. ADDRESS E . I `%2. 3 BRcAD Why CONTRACTOR OWNER Al_ D. 4. SAS ADDRESS DESIGNER 5. ADDRESS PHONE zI -491t ZIP CY2J C0 PHONE ZIP LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S I J3 2 _ (7Z3.7 5 Z6O' or E, irlp5' CMS SI<, of Nt4)-4. £ 'c 12PS. Actual +/ac SeetBacks in Feet North ( (South Size of Parcel f�x2-00 Type ¢onst. Oycupancy East I," 'West Z ne Classification PHONE CHANGE OF USE FROM 6. TYPE 7. OF WORK TO ❑ NEW ❑ ALT. AD'N. ICJ' BLD, ❑ PLMB. ❑ MECH. DESCRIBE WORK 8 4ppITIC N VALUATION ❑ RPL. ❑ M.H. ZIP ❑ MVE. ❑ POOL ❑ OTHER Valuatipn* _ t Main Floor Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Area of Decks No. Baths Upper Floors Garage Area Finished Basement No. Stories CERTIFICATE of EXEMPTION V 91 Unfin. Basement No. Rooms INo. of Dwellings Req'd. Rec'd. SEC.ia'JO S'7oy TT) Emcili q S%•Ipi' SOURCE ELECTRIC WATER Ownership 9. UTILITIES Public ❑Private 7 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. E REV SE SIDE FOR REQUIRED INSPECTIONS 346 8 GAS BiA F.-TO NI SEWER DATE OF APPLICATION GNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env Health Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklis Bul SPECIAL CONDITIONS: Enum. Dist. I Location (Area) USE CODE %As ii Jv G I SP rc 2 PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE Not Req'd. t'✓ FEES COLLECTED Single $ Building Plumbing Mech. Plan Check SEPA Mobile Home Ot r (Specy) TOT L 106 02* *11800 *1C8006 A *0.00 0 7'77.1 '09.-02-82 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 4, 09,. E & 82 777.2Z *108.00U- DATE ISSUED PERMIT NO. TOTAL a U w J LL