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1983, 11-18 Permit: 83B-1857 DeckPLAN 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 1. LOT 2. �Z S (l 09 Urras PARCEL NO. Z Z — BLOCK SUBDIVISION 3. 4. 5. OWNER,' ANN MoMy MAILING ADDRESS S it 9 •Burr nS PHONE PHONE 921 2178 LEGAL DESCRIPTION: ZIP Actual Set Backs in Feet to: North West CONTRACTOR &Lco %,.ory} ADDRESS f) 87-15 ANTI e4-01/1 DESIGNER LICENSE EXPIRES �• 17' 4 PHONE `t83-8494 Size of Parcel Zone classification Residential ❑-� Commercial 0 ZIP PHONE Type Const, New Const. Valuation Spr'nklered ❑Yes ❑No ❑Req'd. Remodeled Valuation Total Bldg. Floor Area ADDRESS ZIP Main4li5ora Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE &NEW reAt-r. 1:1.44‘N. ❑ RPL. ❑ MVE. 7. OF �� WORK Vg ❑ PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors Certifi. of Exempt. or Variance No. Dwellings Required Yes❑ No Q' Number No. Fin. Rooms Received Yes No L: DESCRIBE WORK 81AGt—e,56 VALUATION 9. 7.e -e , SOURCE UTILITIES t 2 A z_t.4 GAS 1 ELECTRIC Shorelines/Flood Hazard Yes❑ Not Applic. 0 Plans Required 0 Received 0 WATER PUBLIC 0 PRIVATE 0 SEWAGE SEPTIC 0 SEWER 0 Ownership Public 0 Private Q' 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 ether specified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel a provisions of any other state or local law regulating construction or the performance of construction. SEE REVS SIDE FORPEQUIRED INSPECTIONS OWNER OR GENT v DATESIGNATURE OFAPPLICATION f, SPECIAL APPROVALS APPROVALS ` SIE IAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PA-43T- (s PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building LD Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ PERMIT NUMBER S 1&S7 *U. CC 1 1 -- 1 6 - .3 f.47n WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. e. DATEIS$UEDL 8 — 8 3 PERMITINS.5.7 2 * 4 0, 0 0 00IrAL C x t s 17'V5 6 /172415 6 Com/ • 5C- to / 0;/Z / L- GONS1 avJGS /.36( iyT Wil /�i.V�542'l•� D1= GUl/624-0 /.p"LK /N /Yi / 141 cf On' P/ e9 ,v Ge�C uU c /'sT Lac we -A.c- Oc - 2-0gI°C. 6,h/0/i6'5 '3 - / 7 /2 (re) 4AM/ / l an/3Y S . / 7 /3r''riti5 ,QUA �, 0O0 °�9 1L Lxn0.t