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1983, 05-04 Permit: 83A-3609 Addition GaragePLAN NUMBER APPL IGAT ION / PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBEWORK Shorelines/ Flood Hazard Plans Required 8 F, ZZ15 X �� Yes NotApplic. Received VALUATION I SOURCE GAS ELECTRIC I WATEOF PUBLICO SEPTIC E Ownership FEES COLLECTED 9 UTILITIES PRIVATE El SEWER ❑ 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. S ERSE SIDE FOR 13EQUIRED INSPECTIONS SIGNATURE OF APPLICATION- '� OWNER OR AGENT DATE Iq SPECIAL APPROVALS SPECIAL C ITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM, FINAL DATE C� Env. Health w� cu ley 5` `i Planning Prevent. Engineer Utilities Plans ' PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building _ I IN 180 DAYS Building Plumbing Mach. Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NUMBER k 'S(,, rq TOTAL $ I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE Ii}t*9r 0 4 8 3 360.92 *68.00°�, PERMIT NO. TOTAL APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. 1. L- _ l ©q S y Iy� IrLuI LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. IN i I- 14PLAT * Z - O NER PHONE PHONE 3. c MAILINGADDRESS ZIP Actual Set Backs in Feet to: t14',11 , E -Q Norm 1 '2, South East I West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ( 3 i V ' dU Commercial ❑ 4. 1 ADDRESS ZIP Type n i. Occupancy Sprinklered /v A 1 I� ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. 50(:,l oo l 1 (025' ADDRESS ZIP Main Floor per Floors I Garage/Storage Greenhouse .�• 69 ZS �. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE KNEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. 7. ❑OTHER WORK 01—LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes No Number orVarianos Received Yes❑ No❑ DESCRIBEWORK Shorelines/ Flood Hazard Plans Required 8 F, ZZ15 X �� Yes NotApplic. Received VALUATION I SOURCE GAS ELECTRIC I WATEOF PUBLICO SEPTIC E Ownership FEES COLLECTED 9 UTILITIES PRIVATE El SEWER ❑ 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. S ERSE SIDE FOR 13EQUIRED INSPECTIONS SIGNATURE OF APPLICATION- '� OWNER OR AGENT DATE Iq SPECIAL APPROVALS SPECIAL C ITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM, FINAL DATE C� Env. Health w� cu ley 5` `i Planning Prevent. Engineer Utilities Plans ' PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building _ I IN 180 DAYS Building Plumbing Mach. Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NUMBER k 'S(,, rq TOTAL $ I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE Ii}t*9r 0 4 8 3 360.92 *68.00°�, PERMIT NO. TOTAL f---.:,.,.... . IQ