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1983, 04-08 Permit: 83A-2728 MHR _ APPLICATION/PERMIT SPOKANE COUNTY = BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SP&KANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS Occupancy Sprinklered LEGAL DESCRIPTION - SEE ATTACHED 1. /X7W E. a , .� LOTB 2. 6 KISUBDIVISION 2 -��Zr s VaIuat n `4 PARCEL NUMBER/S e8ss72— —/sw,6 OWjVER PHONE 3. ,LL4 ,E.TF,�S ' ZIP ADDRESS , / ' `�� v� ZIP 2 7 Actual SetBacks in Feet North d South East ® West 22 CONTRACTOR /�� /�% C '� PHONE S.3S--/7 ,3 Size of Parcel Zone Classification A91 l i 4. ADDRESS ZIP Type Const. Occupancy Sprinklered 4, b&— .� Dyes ❑No ElReq'd. DESIGNER PHONE VaIuat n `4 Building Area in Seq.. Ft. 13 5. ADDRESS ZIP Main rloor Upper Floors Garage Area Storage d CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. — No. Baths No. Stories No. Rooms No. of Dwellir TYPE IiCI NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE. II 7, OF , / ❑ OTHER ❑ BLD' ❑ PLMB. ❑ MECH. LIQ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Req' WORK of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED 8.iC��.. VALUATION SOURCE 'ASIC WATER SEWER Ownership USE CODE OF Public QPrivate VI4 9, UTILITIES I I Single $ 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 Building 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 SIDE FOR REQUIRED INSPECTIONS - Plumbing IaZDATE OF APPLICATIORC 3n. --113 SIGNATURE OF APPLICANT055� Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE 7v. Health I Nn .4rreo �e. cll vt> ��� #r Tl1i� anning re Marshall,J Ie D. Engineer tilities ans Examiner PERMIT IS NONTRANSFERABLE I)PORMT FxPIRFc nNF VFAR FROM DATE OF ISSUANCE Plan Check SEPA Mobile Hom 100. 0 Other (Specify) TOTAL $ U PERMIT NUMBER WHEN MACHINE VALIDATED IN THIS THIS BECOMES A PERMIT. -z f �i ' 00 Y G 0a -05-?3 __ 6 479 E, 0;41-4,98 r-8`3' 2F7,28 z *'10 0.&0 f DATE ISSUED PERMIT NO. TOTAL