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1984, 01-30 Permit: 84A-806 Water SoftenerUnfin. Basement PLAN 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 1. STREEAT DDR'�``/,� LOT BLOCK SUBDIVISION 2. 3. 4. OWNER, )� 7N• MAILING ADCRESS CONTRAp6R PHON5.1 LICE SE EXPIRES, PARCEL NO. ONE ZIP ADDRESS • DESIGNER 3`2()-7 ZIP�- 6z72- ADDRESS CHANGE OF USE FROM T PHONE ZIP TYPE ❑ NEW 7. OF WORK ❑ BLD. DESCRIBE WORK VALUATION 9. ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER SOURCE UTILITIES ELECTRIC WATER PUBLIC ❑ PRIVATE ❑ SEWAGE SEPTIC ❑ SEWER ❑ LEGAL DESCRIPTION: Actual Set Backs in Feet to: North ,South Size of Parcel Type Const. East West Zone Classification Residential D Commercial ❑ Occupancy Spr'nklered ❑Yes El No ❑Req'd. New Const. Valuation Main Floor Cover Deck No. Baths Certif1. of Exempt. or Variance Remodeled Valuation Total Bldg. Floor Area Garage/Storage No. Floors Greenhouse Fin. Basement No. Fin. Rooms Required Yes C No Received Yes Noll Shorelines/Flood Hazard Yes❑ Not Applic. D Ownership Public ❑ Private ❑ 1 hereby certify that 1 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 au- thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REV - SES SIDE FOR RE • IRED INSPECTIONS SIGNATURE OF OWNER OR AGENT SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. APPLICATION DATE SP CIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS No. Dwellings Number Plans Required ❑ Received ❑ FEES COLLECTED Building Plumbing — Mech. Plan Check SEPA Modular/ MFG. Horne Other (Specify) TOTAL $ PERMIT NUMBER A *500 * 5.006 * 0,00 80.52 01-30-84 z 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ra DATEisiu-ir 0 - —8 4 PERMIT N8.0, 6 z *500aQ�AL