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1983, 09-26 Permit: 83A-9491 GaragePLAN NUMBER APPLICATION /PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS LOT 2. S N BLOCK SUBDIVISION ' flt ?tTI. OWNER 3 -1at -try PHONE ADDRESS coa CONTRACTOR 4. f�2 TiSt`�C �x,,vSC. ADDRESS k4"71tS". t-7�tF DESIGNER 5. ADDRESS LICENSE EXPIRES PHONE u _z4 ZIP PHONE PARCEL NO. t BSSa — LEGAL DESCRIPTION: Actual Set Backs in Feet to: North 'South ■ J East Size of Parcel t S S IWest C, Residential Commercial ❑ Zone Classification a-Q.11(v\ lA CHANGE OF USE FROM ZIP cj4o3'7 PHONE ZIP TO TYPE /NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER WORK ( /BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL Type Const. -a. NeWConst. Valuation irP,(3D-C!' Occupancy Sprinklered ❑Yes ❑No ❑Req'd. Remodeled Valuation Total Bldg. Floor Area Main Floor Upper Floors Garage /Storage 1.04'0 Greenhouse Cover Deck Uncv. Deck Fin. Basement Unfin. Basement No. Baths No. Floors No. Fin. Rooms No. Dwellings Certif1. of Exempt. or Variance Required Received Yes❑ No❑ Yes No DESCRIBE WORK 8. c C� 4 c.t VALUATION 9. SOURCE UTILITIES GAS I hereby certify that I have read and reverse side, and know the same to work will be complied with whether thority to violate or cancel the prov of construction. SEE REVERSE SIGNATURE OF OWNER OR AGEN ELECTRIC WATER __,/ SEWAGE/ PUBLIC IC SEPTIC PRIVATE ❑ SEWER ❑ Shorelines /Flood Hazard Yes❑ Not Applic. ❑ Ownership Public ❑ Private.d examined this application and have read the "NOTICE" provisions included on be true and correct. I provisions of laws and ordinances governing this type of specified he orjjat. The granting of a permit does not presume to give au- ions of any s er4l to or local law regulating construction or the performance APPLICATION Z gC,? DAATE Number Plans Required Received bill SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Yr-al& PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $'Q? PERMIT NUMBER g5A -4441 02* *89.00 A 8006`3 949.02 1479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE nS2IED2 6 - 8 7) PERMIT Nat 9.1 * 8 9. 0 041FAIL • t) c_ C-0 OcT; 0 u4 lq 7 vs-- [Th, R Pk 0 A - 43■• Pit■Porr\I Y%4kj e 10 •-•