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1984, 03-01 Permit: 84A-1764 Storage Bldg
PLAN NUMBER APPLICATIt/PERMIT SPOKANE COUNTY - DEPART ENT OF BUILDING &SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1. - r7i7Us 2. BOCK PARCEL NO. .....7r7+2_ — 072.3 uBDivisioN 3. 4. 5. OWN Ticlac7L-0 —J CH :%1\1 PHONE MAILING ADDRESS 140j M' `TII t I r` •A l ADDRESS 4Z'ii I ONJ c7 DESIGNER ADDRESS LICENSE EXPIRES il° 3775 ZIP %7-7-'(o PHONE LEGAL DESCRIPTION: Actual Set Backs in Feet to: North 'South l0 Sim 1 Parcel I x Type CymO "rillY Cp t:.aluatiop East I West Zone Classifiq Ion Residential Commercial 0 Sprinklered OYes 0No OReq'd. Remodeled Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors cara9eJ5t0 (1 Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfit. Basement TYPE 7. OF WORK 92W 0 ALT. 0 AD' N. 0 RPL. 0 MVE. D. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifl. of Exempt. or Variance Required Yes❑ No❑ Received Yes❑ No❑ Number 8 DESCn� ORKr✓T`�cv(" 4 ✓�I/ 0 ! �, ) VALUATION �L7•//�S000URCE GAS E ECTRIC Pricy/ 9. UTILITIES PRIVATE 0 Shorelines/Flood Hazard Yes0 Not Apollc.0 Plans Requ red 0 Received 0 SEWAGE/ SEPTIC ©©© SEWER 0 Ownership Public 0 Private 0 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. SEE REVSE SIDE FOR R OUIRED INSPECTIONS SIGNATURE OF OWNER OR AGENT SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Flre Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. APPLICATION ;fy1 DATE • SPEC ' L CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) ' PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ PERMIT NUMBER 0 —1704—\ 02* *54,00 *54.00,5 A *0.00 17632 03-01-84 2 6479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE ISSUE _ 4 I '7 L PERMIT -U.6 4 z *5'4 UAL fittsCi; nri f , cyni 1' Houk Rd. 175 : ,./