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1983, 12-20 Permit: 83B-2677 AdditionPLAN NUMBER 53 -133 APPLICATION/PERMIT SPOIKA ' COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGT(6N 9928b / (509) 456-3875 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1.STREET ADDRESS '�/��I'��� 1 UBD VIl giON I ra\J I[/ I Jer6 2. 3. LOT ovy MAI BL2- PARCEL NO. Ia 544-- 11 G AD&D17 t.2 NIA, r I AINJ CONwPACTOJR cetscif 4. ADP E SL I 1 rL+ DESIGNER 5. 6. P ON PHONE ZIP LEGAL DESCRIPTION: , I 5 Q I Lo- .? Actual Set Backs in Feet to: North South East) West LICENSE EXPIRES P.t4N OILr-/ HONE Sized ccell �1 0 Vlasaln I; Rmide Commerciale0 Commercial clal 0 Type dols, t.l New Const. Valuation 20 z>? 3 Spr nklered Oyes 0No OReq'd. Remodeled Valuation Total Bldg Floor Area ADDRESS CHANGE OF USE FROM TO ZIP Mab Cover Deck Uncv. Deck Garage/Storage Fin. Basement Greenhouse Unfin. Basement 7. TYPE 0 NEW ALT. 0 AD' N. 0 RPL. 0 MVE. OFLD. 0 PLMB. D MECH. 0 M.H. 0 POOL WORK 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certdi. of Exempt. or Variance Required YesO No0 Received Yes0 N0 8. DE{Z' oe5mkt 1.1 )ON 1 ) VALUATION 9. SOURCE UTILITIES Shorelines/Flood Hazard VesD Not Apollc.0 Number 0 Plans Requ redaV Received ELECTRIC IC WATER PUBLICS' PRIVATE 0 SEWAGE SEPTI SEWER 0 Ownership Public 0 Private 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 REVERSE SIDE FOR R OUIRED INSPECTIONS SIGNATURE OF Q.( APPLICATIO OWNER OR AGENT SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. cutt DATE SPECIAL C DITION$: (SEE REVERSE SIDE FOR NOTICE) 9g a 5/0/53 GC,1•'I1'IA Dile( i c+ 2►yJ6) 1 3AGt�— f tt 44/41604-5110/-_ -liLA a .-d .i1-L,ccr..A�c X-' 1.655 444 Nit I 1.1 4/96 3 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 e 2617 02* *16200 *16200 *162006 A *Q00 8 39462 05-11-83 2 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. h. DATd.iaUEi — 8'3 TOTAL PERMI7,N 7,72 *,162000. /,t v Gf 5EVIALiE. . ' 915 rOSAL 1 Saab. I� 2.oi-011