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1983, 05-05 Permit: 83A-3716 MHNUMBER APPLICA-TION/PERMIT SPOKANE COUNTY — UU10ING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. _. No. Baths No. Stories No. Rooms No. of Dwellings TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE. , %, OF ,,��,,,,// ❑OTHER WORK El BLD. ElPLMB. ❑ MECH. L�( M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd. ` of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8. M 8!��Z— FEES COLLECTED VALUATION IISOUOFCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. r%Q� UTILITIES Public ❑Private Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions injed on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governitype of work will be complied with whether specified herein or not. The granting of a permit does not prBuilding to give authority to violate or cancel the provisions of any other state or local law regulating construction performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP TIONS Plumbing DATE OF APPLICATION SIGNATURE OF APPLVCAN �/ / �z, �Mech. PERMIT NUMBER girt --3-7 t� SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health Planning v ,4IIT 1W �61(e40 47- rg/S T;W,� SEPA c lYQ Qctl Fire Marshall l/1l��rL� ����� �.y' 77iyLr of Mobile Home �.S[.�L. `_' G61, .7+ ✓ �j G��/G-�� �AISr)t5 iC,wPA) 101% IA) VjM)(' Other (Specify) Utilities y TRrL 40,0=7 d/ I ` TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. '4 .zdi n PERMIT IS NONTRANSFERABLE 0'�,—=05_&3 37L6. 00,00 F z PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. 4. !B D F.4l,eY LEGAL DESCRIPTION - SEE ATTACHED LOT 2. / I BLOCK Z ISUBUIV15ION CeKr.,W-SITE QST-4TES PARCEL NUMBER/S OWNER PHONE 3. u7T ADDRESS Q j /{� !i11E�V G--/. `� r/w ZIP 02 Actual Set Backs in Feet North r South 3o, 1,6 r 3 0 ' CONTRACTOR PHONE c3 Size of Par I East West Zone Classification4. ADDRESS ZIP 'f n Type �Const. Occupancy Sprinklered �a SA L4 � �jL(/,6 — ❑Yes ❑No ❑ Req'd. DESIGNER PHONE Valuation Building Area in Sq. Ft. 5. 000A/1104 ADDRESS ZIP T Maiinn F oo / Upper Floors �� Garage Area �� Storage �' CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. _. No. Baths No. Stories No. Rooms No. of Dwellings TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ElMVE. , %, OF ,,��,,,,// ❑OTHER WORK El BLD. ElPLMB. ❑ MECH. L�( M.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not Req'd. ` of EXEMPTION DESCRIBE WORK Enum. Dist. Location (Area) 8. M 8!��Z— FEES COLLECTED VALUATION IISOUOFCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. r%Q� UTILITIES Public ❑Private Single $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions injed on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governitype of work will be complied with whether specified herein or not. The granting of a permit does not prBuilding to give authority to violate or cancel the provisions of any other state or local law regulating construction performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP TIONS Plumbing DATE OF APPLICATION SIGNATURE OF APPLVCAN �/ / �z, �Mech. PERMIT NUMBER girt --3-7 t� SPECIAL APPROVALS SPECIAL CONDITIONS: NAME DATE Plan Check Env. Health Planning v ,4IIT 1W �61(e40 47- rg/S T;W,� SEPA c lYQ Qctl Fire Marshall l/1l��rL� ����� �.y' 77iyLr of Mobile Home �.S[.�L. `_' G61, .7+ ✓ �j G��/G-�� �AISr)t5 iC,wPA) 101% IA) VjM)(' Other (Specify) Utilities y TRrL 40,0=7 d/ I ` TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. '4 .zdi n PERMIT IS NONTRANSFERABLE 0'�,—=05_&3 37L6. 00,00 F z PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL