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1983, 11-10 Permit: 83B-1498 StoragePLAN NUMBER .r'PLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHInirarl 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. 2. STREET ADDRESS N , Z\'j LOT BLOCK p PARCEL NO. 1'554=5 - SUBDIVISION OWNER 3�.�. MAILING ADDRESS N . u� 4. PHONE PHONE LEGAL DESCRIPTION: s t.,5 vc. � dF ev7.. t3F C'f2 C5i-t3._ic VE21c, C_on3 /LC ICra ZIP Actual Set Backs in Feet to: North 'South S' CONTRACTOR CGCNC c7 t4tS ADDRESS LICENSE EXPIRES PHONE East I West '31 / Zone Classification Residential [�' Commercial El Size of Parcel t35 K l5`d ZIP 444 7 Tnst. n.i Occupancy Wti Sprinklered ❑Yes ❑No ❑Req'd. 5. DESIGNER PHONE ADDRESS ZIP Remodeled Valuation Const. Valuation 71.Sf\-00 Upper Floors Main Floor Total Bldg. Floor Area QetD Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE LofNEW ❑ ALT. ❑ AD' N. 0 RPL. ❑ MVE. 7. OF BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL WORK 0 OTHER No. Baths No. Floors Certifi. of Exempt. or Variance DESCRIBE WORK 8. szo, F VALUATION 9. SOURCE UTILLIITIES GAS ELECTRIC WATEFiJ PUBLIC PRIVATE El aoX4 SEWAG SEPTIC SEWER ❑ Shorelines/Flood Hazard Yes❑ Not App Jlc. ❑ No. Fin. Rooms No. Dwellings Required Yes❑ Nodi — Received Yes❑ No❑ Plans Required Received r Number Ownership Public ❑ Private 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 RE ERSE - IDE FOR REQUIRED INSPECTIONS SIGNATURE OF OWNER OR AGENT- SPECIAL APPRVV S PRELIM. FINAL DATE Env. Health Planning 1114 Pire Prevent. Engineer Utilities SEPA Plans Exam. t5� ri Building Tech. APPLICATION ` i DATE // SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFEI?ABLE 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 $ 60.00 PERMIT NUMBER c WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEJISLUI'i). 0 — S 3 PERMIT1NQ.9 8 Z *68,00aOAL CY-t-- Ni • '7 E -f E15 :• 02- Porde/ 35q 3- 09'010 '71 j7,51 Code /40 3 sq. 6 al m 41 1 05 H-0 us e 135 < Con k 11.Y) >-- d 3 7