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1981, 02-25 Permit: 81A-18M Single Family Residence, Garage Attached P...AN NUMBER 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 C c 15 III BLOCK SUBDIVISION N "f 7 I 'LD I i'Ib!`L.3 3 OWNER ADDRESS 4. CONTRACTOR ADDRESS DESIGNER 5. ADDRESS CHANGE OF USE FROM 6. TYPE 7, OF WORK PHONE ZIP PHONE ZIP PHONE ZIP TO E NEW ❑ ALT. ❑ AD'N. ❑ RPL. © MVE. BLD. ❑ PLMB. ❑ MECH. ❑ M_H. ❑ POOL DESCRIBE WORK ❑ OTHER LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/S Z3'534- 1664 Actual Set Backs in Feet A y North South East -.26' West ✓Z Zone Classification 5',I LA V IL / Size of Parcel it ' 8 �?irar�tt_r R4IMI.L1 VALUATION SOURCE 9 1 •y„( L I ke YI'(' UTILITIES `-IfJF 7'aka'; 6 PQPfa P tE iO GAS ELECTRIC WATER SEWER T(pe Const. `a"U Valaation Upper Floors Garage Area ! d� I 57_gq Occupancy Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. Main Floor 11 '3 Area of Decks No. Baths . 1 Finished Basement No. Stories .rr CERTIFICATE of EXEMPTION Enum.Dist. Storage Unfin. Basement i t 8S No. Rooms Req'd. Location (Area) Ownership Public ❑Private vi 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 lo law regulat a •. .. •r the performance of construction.SEE REVERSE SIDE FOR REQUIRED INSP N DATE OF APPLICATION SIGNATURE OF APPLLCA SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE .1/-A/7-et Health Planning Fire Marshall Co. Engineer y / g. a¢k Pg'goug'i r& c fE?T 4:i. �A4,►dE (�ear-� °<� �l�[r b j C a4 LL Sc.�.u31i`, • f:ir, pig, cdl�i♦G Utilities Plans Examiner 1 ? al) SEPA Checklist E i ldin. echnician V ('� ceiL i1Ji7L%f PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE No. of Dwellings Rec'd. Not Req'd. I FEES COLLECTED Single $ Building 4315- bJ Plumbing Mech. Pfan Check SEPA Mobile Home Other (Specify) TOTAL $ PERMIT NUMBER Jt g: 'i'Bk°1 02* * 31300 *31 300 *3130.06 A *0.00 1638.2 02.- 19-81 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 02:(=25781 18L7 5 *3 13:0 V g � DATE ISSUED PERMIT NO. TOTAL 105 ' 4 Cr ►U FA EME T, ,Cb 1 N, Tp,f3K__ .____ 1C \,� 6.A +4i) 4 - __ - ,41' +.8 /NI N 3n' 2 Y/z 3� -- ' .� Gam — 1 7 ' 3D, ' �' ¢' 24� \\\ r 1 -L4175 el' tAA GEC sl>A r) \\ \ \I \- i _ 1111 3-. 1 PP\PC, .---1_ :1- 2'2)63 _ \ooz_ , • 16 LAN NURIBER ..... .... .. .. p1^ aS b/ SPOKAM � [. •tbgOOARTMENT EFS $''o stia�AEi�I oronQ APPLICANT: COMPLETE NUMBERED SPACES -- PRESS HARD TO MAKE 3 COPIES . �,q AapRESs L ,H LEGAL. DESCRIPTION — SEE ATTACHED Pa ---- -- ---RJS x. 4 ' Z $LORhl 5 Am tTlav Vz�R a-r =lk 1 ow En PHoNL 3. DDRESS 15 Rn Ln•6'.31.Z CONTRACTOR el 4aekf M Fael qa El¢ N rihv h 3'Jr E�s^ CD it .31q Pn a 0.ODR : Ire P�w IcrSK lw LIP 5 r.ugvunn SAME p on I. oecu w w SLF1in PHONE SP[Inp.erstl Cho, cl- ❑ nPq'p. ��gOEEIONER 6' ADDRESS q�Yy��� a.,1 P "T.Ca'tl�+lV' A,ve In Si. Fl. napDOI- �Mein F.ccr yr F-11 pe Al S�eraOe ,,,�// ""-- �— 1186 T JIM.. If0 NEw ❑ ALT. © AO'N• ❑ RP" ❑ MV E. �ha stvHer N., ROOmt No. ql Oweulnpr (Ll DL0. O PLMSr Ca MECN. M.H. ❑ POOL OTNER CERTIPICATE Req•tl. Op RN ec of we_ to 9 er :'a 9 to.511Ye., DATE OF N .OrtRCR OAS ELRCTfl10 WATER SOWER OWnerrNlp WSE CODE uTez TIES N.U. CJ Prlvale ly thaq'I rlgvu load and ek tlncd ghls pph,lin" and havq road Ilea "NUTICE" Isr.lvhlnlu kncludW ample e s, and know Ihu soma to no ulre pad cwrocl, All provianup ul kawq pod wnnlancee IIOVOrnln{I [hla DuIN3np will ha EEmpllod with whalher sPpulllad hereln m rinr. The Srent{np n1 n pro nqh dons nos ptvqunlq }ty I. vlalpro or cancel the prOVIPOnp al ally ollmr stela m I Inw ralpllal r dlq 1 constluegmq,SEE REV(E�RS�E SIDE FoR REQUIRED INSP CT N Plvmtrinp NUNATURE OF APPUCA Mxh. APPROVALS SPECIAL CONDITIONS. NAME DATE LKEftrrP DIL 1111 =is, Plen Check &EPA !.Motile H.- 1q�81 Y� "APPROACH P&MIT REQUIREI rr Othgr ravxlryl COMM County Engine&?, Office TOTAL 6t3,bU ERMTNOMEER P�IR�1$llF �.. 1 •31300 E q 3130.06 II •000 165i8R 2 667Q