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1983, 07-12 Permit: 83A-6414 Relocate GaragePLAN NUMBER F1rrL 1%oA t IUN / rtt M l 1 VtHMl I NUMBEH SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETYi� NORTH 811 JEFFERSON !SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. ADDRESS ZIP Main Floor Upper Floors A77 elStorage Greenhouse LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. I I Cover Deck Uncv. Deck OWNER� e G O © PHO7.NE 3. 1 TYPE❑NEW 11 ALT. ❑ AD'N. ❑RPL. ❑ MVE. No. Baths No. MAI LAIty�G ADDRESS --I- „ I �,- I ZIP I Actual Set Backs in Feet to: Int - [ (0 (21 North South East West Certifi. of Exempt. CONTRA TO Yes❑ No[] LICENSE EXPIRES H NE Size of Parcel Zone Classification Residential 4. DESCRIBE WORK 8• Shorelines/ Flood Hazard Plans Required ❑ Yes Not Applic. ❑ Received ❑ Commercial ❑ GAS ADDRESS PUB IC WTEO ZIP Type Const. Occupancy Sprinklered 9• UTILITIES I PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ ❑Yes ❑No ❑Req'd. DESIGNER provisions included on PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. 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 taw regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing ADDRESS ZIP Main Floor Upper Floors A77 elStorage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. TYPE❑NEW 11 ALT. ❑ AD'N. ❑RPL. ❑ MVE. No. Baths No. Floors No. Fin. Rooms No. Dwellings .s % OF OTHER WORK ❑ BLD. 11PLMB. 11MECH. ❑ M.H. ❑ POOL Certifi. of Exempt. Required Yes❑ No[] Number or Variance I Received Yes❑ No❑ DESCRIBE WORK 8• Shorelines/ Flood Hazard Plans Required ❑ Yes Not Applic. ❑ Received ❑ VALUATION SOURCE GAS ELECTRIC PUB IC WTEO SEPT C SEWAGE Ownership FEES COLLECTED 9• UTILITIES I PRIVATE ❑ 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 taw regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OFt APPLICATION I � ©-T Mach. OWNER OR AGENT Ck DATE SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG. Home Fire Prevent. Engineer Other (Specify) Utilities TOTAL $ SEPA WHEN MACHINE VALIDATED I Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Buildin + Tech. IN 180 DAYS Q%_ /� l {} 0 (( DATESSUEJ PERMi J. y' z * O 90IrAL D. O C.) LU J LL