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1983, 09-28 Permit: 83A-9661 GaragePLAN NUMBER I APPLICAT► iAMIT SPOKANE COUNTY — DEPAR`rrvir-NT OF BUILDING & SAFE' Y NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES PARCEL NO. !ZZ5yv — / SUBDIVISION LEGAL DESCRIPTION: y.J-r ;L3&i< :Z O F 6,4UP-)AHM'5 SUBOIVISIJN uF W i of Ti m PHONE PHONE 1eG AN17 C y O� � • .. b z 'Tr-I4C% 197 b ZIP Actual Set Backs in Feet to: ]North South 7 East 38 West STREET ADDRESS 1. 5 4 tZ, Size of Parcel LOT BLOCK 2. Residential 13­_� hill OWNER 3. 14A LLJAM ' ?C MAILING ADDRESS AGfMc s. -,+/z L APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES PARCEL NO. !ZZ5yv — / SUBDIVISION LEGAL DESCRIPTION: y.J-r ;L3&i< :Z O F 6,4UP-)AHM'5 SUBOIVISIJN uF W i of Ti m PHONE PHONE 1eG AN17 C y O� � • .. b z 'Tr-I4C% 197 b ZIP Actual Set Backs in Feet to: ]North South 7 East 38 West 9 UTILITIES 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 '75j 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 REQUIRED INSPECTIONS Plumbing SIGNATURE OF V APPLICATION OWNER OR AGENT DATE / Z -' –� Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE N%fJ(�� —rd QAL�S-�' Plan Check Env. Health? E $ SEPA Planning Modular/ Fire MFG. Home Prevent. Engineer i Other (Specify) Utilities SEPA PiansPERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building uiling �j.', ; IN 180 DAYS PERMIT NUMBER TOTAL $= WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DAT�ISS E� _R 5 PERMI�N4.6- 1 z * 7 5.0 0 QOiAL a C C: LL J LL CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential 13­_� hill N i 2_ 24—_;?tf 2 ' ?C 0- �S4- 1 AGfMc -SU13 I Commercial ❑ 4. ADDRESSZ ZIP Type Const. OccA Y Spr❑Nor� J J� IO �� ❑Yes ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area r64bo � $o© 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse Soo I _..._ CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE EW 11 ALT. 2'AD'N. 1:1 RPL. ElMVE. –�' 1 -� _-- 7 OF ;7BLD. ❑OTHERCertifi.ofExempt. WORK ❑ PLMB. C1MECH. ❑ M.H. ❑ POOL Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ 8 DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑ I C Yes❑ NotApplic. ❑ Received ❑ VALUATION SOURCE of GAS ELECTRIC I WATER PUBLIC ❑ SEWAGE SEPTIC ElFEES Ownership COLLECTED 9 UTILITIES 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 '75j 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 REQUIRED INSPECTIONS Plumbing SIGNATURE OF V APPLICATION OWNER OR AGENT DATE / Z -' –� Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE N%fJ(�� —rd QAL�S-�' Plan Check Env. Health? E $ SEPA Planning Modular/ Fire MFG. Home Prevent. Engineer i Other (Specify) Utilities SEPA PiansPERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building uiling �j.', ; IN 180 DAYS PERMIT NUMBER TOTAL $= WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DAT�ISS E� _R 5 PERMI�N4.6- 1 z * 7 5.0 0 QOiAL a C C: LL J LL �\, b 4k