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1983, 05-11 Permit: 83A-3904 Siding, Soffit, FasciaPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456.3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS1. LOT 18/1(1 Sti i g.I N rime) 2. 7 / I% Y fi/G�5 OWNER s I Dct,U Q a Inn u A DyIRL q, , friTA 1011 CONTRACTOR i I c JGu 4' ADDRESS 3 06, Arra els acC DESIGNER 5. LEGAL DESCRIPTION — SEE ATTACHED PHONE 92.J—gy067 211n1 P/] �1 ^ / _19 oz -V10 PARCEL NUMBER/S Actual Set Backs in Feet North 'South East 'West PHONE 948 -4k2%o Size of Parcel Zone Classification ZIP ( 9�6 Type Const. Occupancy Sprinklered Dyes DNo 0 Req'd. PHONE Valuation Building Area In Sq. Ft. ADDRESS ZIP Main Floor 'Upper Floors 1 Garage Area Storage CHANGE OF USE FROM 6. TO Area of Decks Finished Basement Unfin. Basement TYPE 7. OF WORK ❑ NEW 0 ALT.' 0 AD N. 0 RPL. ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. O MVE. O POOL DESCRIBE WORK 8. So • -sAtoriT VALUATION SOURCE J 'GAS 9. J/C. .JO UTILITIES OF ELECTRIC tl;;;HER j�' J�Q.�/t.. No. Baths No. Stories No. Rooms No. of Dwellings CERTIFICATE of EXEMPTION Req'd. Recd. Not Req'd. Enum. DIst. Location (Area) WATER SEWER Ownership Public D Private 0 USE CODE 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 authority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDEFOR REQUIRED INSPECTIONS 'DATE OF APPLICATIONTh.__ SIGNATURE OF APPLICANT SPECIAL APPROVALS , SPECIAL CONDITIONS: NAME DATE Env. Health Planning Fire Marshall Co. Eng i nee Utilities Plans Examiner SEPA Checklist PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) OD sow TOTAL PERMIT NUMBER P7SA - 3904-- 021* *6800 - *6800,5 A *Q00 0 390,3� ,05-11-83 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUED • 3.90.41 ' *68.00,a.e. _ PERMIT NO. TOTAL r O 0 LLI J La-