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1983, 11-10 Permit: 83B-1496 GarageIr-LMrdNUMa11=rk I HVVL_1%0A 11vIv/ rr_nm1 1 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 STREETADDR�SS PARCEL NO. LOT BLOCK SUBDIVISI N I LEGAL DESCRIPTION: 2. tj AL OYV,NER :::,rPHONE PHONE 3. MAILING ADDRESS ZIP Actual Set Backs In Feet to:r CQ/. PtHMII NQUUMB H. . • O ' �/ U JC1 i C-1-11 e OZ North South '% East I West CO TIRACTO-8 � � LICENSE EXPIRES P ONE S � Zone Classif cation Residential 4. 1//���� Commercial ❑ AD16SS IP Type Const. Occu y Sprinklered + Dyes ❑No ❑Req'd. DESIGNER PHONE k NewODnst Valu lion Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIP Main Floor Upper Floors Garage/ torag Greenhouse Fin. Basement Unf in. Basement CHANGE OF USE FROM TO Cover Deck Uncv. Deck s. - No. Baths No. Floors No. Fin. Rooms No. Dwellings ❑ALT. El AD' N. ❑RPL. ❑ MVE. 7. OFPE ❑ OTHER WORK BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL Cartifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ DESCRI E RK 8• Shorelines/Flood Hazard Plans Required ❑ © Yes❑ Not Applic. ❑ Received ❑ VALUATION SOOURCE GAS ELECTRIC P UB AER SEPWALIG T Ownership FEES COLLECTED 9• I UTILITIES PRIVAT��j SEWER ❑ Public ❑ Private ❑ 1 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 Building (% 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. SEE REVERSE SIDE FOR REO U RED INSPECTIONS SIGNATURE O APPLICATION . Q' Plumbing OWNER OR AG DATE Mech. SPECIAL APPROVALS SPECIAL COND IONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG. Home Fire Prevent. Engineer Other (Specify) Utilities I l 4 TOTAL $ SEPA IN THIS SPACE, MACHINE VALIPians PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMITTED Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tech. �� IN 180 DAYS1 1FEl Q— 1 /�6* 5 4. 0 o J DATEiSL9, 6 ilOirAL PERMITL. CL O C3 W a: Lo'r 1 IBL.00r'C Z , COAC-H -L )7E tr5T477&5 G. 18404 FAIoe VIEW C7. qs. os", FA IRVIEV/ COURV Q$SS2 - /SO / (A 0 rn r FY I Dns rRevl is s, 1,14. ��loz"7