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1983, 08-16 Permit: 83A-7837 Woodstover-LHry NUMOtn I ArrLI(:A I IUN/ 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 1 - TREETAf�DRESS PARCEL NO. I�✓V 2. LOT BLOCK I SUBDIVISION' LEGAL DESCRIPTION: !Z NEW P O?N PHONE 3. IJV LIING ADDRESS / � / Actual Set Backs in Feet to: LAJ�V 7 r North South East West CONT C OR LICENSE EXPIRES ONE Size of Parcel Zone Classification Retial ❑ 4. Commercial ❑ ADDRESS ZIP Type Const. Occupancy Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM s. TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE NEW ❑ ALT. ❑ 'N. ❑ RPL. ❑ MVE. Flo. Baths No. Floors No. Fin. Rooms No. Dwellings 7. OF ❑OTHER WORK ❑ BLD. ❑ PLMB., MECH. ❑ M.H. ❑ POOL �ifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ 8. DES RI •�o Shorelines/ Flood Hazard Plans Required ❑ Yes Not Applic. ❑ Received ❑ VALUATION SOURCE GAS ELECTRIC Ownership 9 OF PUBLICO I SEPT CG❑E FEES COLLECTED UTILITIES PRIVATE ❑ 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- Building thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction. SEE REVEJkSE SIDE FOR aEOUIRED INSPECTIONS Plumbing SIGNATURE OF OWNER OR AGENT APPLICATION h JI DATE �/ (� Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent, Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tern. IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS THIS BECOMES A PERMIT. PERMIT NUMBER - 79 _ u % DATE ISD PERMIT NO. o * O SUETOTAL tL O C.3 W J W