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1983, 10-13 Permit: 83B-425 ResidencePLAN NUMBER APPLICATIQN(PERM IT 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 1STREETADDR�I7� Q1S� �%� • _ , .- LOT ' 2. ' BLOCK PARCEL NO. SUBDIVISION eeSt —rt.Zc2eLADt. OWNER C'CR A O ell �&- 3. MAILING A DRESS S 32 oCo �ok.151-ZSl.— PHONE PHONE GZ�F l3Z`) LEGAL DESCRIPTION: ZIP Actual Set Backs in Feet to: North ZJ a (South 5 11 East z.-eD 4. ADDRESS CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification West 7 Residential 8' Commercial ❑ ZIP DESIGNER 5. C514-AS6 1 t CC:te V—( pt7LAu-e-cAls ADDRESS PHONE Type Const. •O�cc;up Y New Const. Valuations Remodeled Valuation ❑Yes Spr'nklered ❑No ❑Req'd. Tota Bldg. Floor Area ZIP 6. CHANGE OF USE FROM TO Ma���Fl9 Cover Deck UpCOper Is Ga /St Uncv. Deck ra a orage y Fin. Basement Greenhouse TYPE ff<19iv ❑ ALT. ❑ AD' N. 7. OF WORK iirT3LD. ❑ PLMB. CIMECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER No. Baths No. Floors Z No. Fin. Ro9ms Certifi. of Exempt. or Variance Required Received Yes❑ Noe(/' Yes❑ Nor? DESCRIBE WOR 8. ���✓�R� 4KWcA� Shorelines/Flood Hazard / Yes NotApplic. EY Unfin. Basement tole{ No. Dwellings Number Plans Required {� Received ❑ VALUATION 9. SOURCE GAS F UTILITIES ELECTRIC WATER PUBLIC ❑ PRIVATE ❑ SEWAGE SEPTIC SEWER 0 Ownership / Public 0 Private E 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 au- thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVE SE SIDE FOR REQUIR D I PECTIONS 1 SIGNATURE OF OWNER OR AGENT SPECIAL APPROVALS PRELIM. FINAL DATE 4Env. Health Planning gd411D (o-61 Fire Prevent. ngineer� Utilities 3 lc SEPA fans Exam. Building Tech. 10/.5 tet/ APPLICATION / 7—- DATE �l SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) .7U' PCNA) Lion 'r Cik7130-1.1. SU -E ,A'rr. 1.002 8150b3 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 9©1 Other (Specify) TOTAL $ —t`�—+-- PERMIT tMBE9 v' WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. UED.3=83 PERMIT N *. *409.UU D ,- DAT TOTAL kfr at ,1"`1't ,SSS P 0/10 ►Q �c. "tom'`` -\‘\ u1wC6,4' o 51 tt�Zo 93 ki