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1984, 04-12 Permit: 84A-3296 Residence
IPLAN NUMBER APPLICATION/PERMIT 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 STREET ADDRESS 1. 2. LOT 2 BLOCK Z SUBDIVISION 3. OWN R _f?rGi> H'Peu PFJQIF8 1650 PHONE PARCEL NO. LEGAL DESCRIPTION: -4602, SSE /a'C�t MAILING ADDRESS tea- 16. 7 4. 5. 6. wf'I'`c Rp,iIL— i�►�L ADDRESS rPIC7 DESIGNERO- ADDRESS LICENSE EXPIRES ZIP Actual Set Backs in Feet to: North (South 3 D {East ' 1 West Size 1 Parol nAl- Type Corlst. Occupancyz Zone Iassification Residential�5. Commerciall ❑ tpr nklered ❑Yee 0 N ❑ Reg 'd. ZIP New Const. Valuation Main Floor Remode ed yaivation. 3�4o (44z,) Garag}/Storagge Upper Floors Total Bldg. Floor Area GreenhouaeL CHANGE OF USE FROM TO Ow Deck Uncv. Deck Fin. Basement Unfin. Basement 7. TYPE fl, NEW OF WORK ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 0 PLMB. 0 MECH. 0 M.H. 0 POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certif 1. of Exempt. or Variance Required Yes No❑ Received Yes 8. DESCRIBE WORK Shorelines/Flood Hazard Yea❑ NotApplic. 0 Number No [71 Plans Required J3/ Received d VALUATION eoe SOURCE UTI LLIITI ES GAS ELECTRIC WATER PUBLIC 01( ❑ SEWAGE SEPTIC la SEWER 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 lo .I law regulating construction or the performance of construction. SEE REV .SE SIDE FOR 0 _ NSPEC ' ONS SIGNATURE OF OWNER OR AGENT !� %4`�Q�..� DATECATION SPECIAL APPROVALS Env. Health PRELIM. �FINAALL/DDA E Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. J red 2/z3 SPECIAL • • NITIONS: (SEE REVS -SE SIDE FOR NOTICE) ‘." "C ( i O a 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) loo TOTAL $ PERMIT NUMBER c 44 _7)2q WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE blip; 1 2 - 3 4 PERMITNO2 966 *1540aI- TOTAL D� RI Pvfl O t.J ei.oc 2 ) Lor 2. -GHaRG APDITI©I.1 SPOKANE couITY VERADAI. . , WASH. T(ZAci I ZZ of VERA uT1LITY EASEMEW' 1=7LoT PLA l � - ZO. p' MPORARY GUS - DE- SAG PAD MOUNTED IRANSFC,RMf R 1N�T'EK RVIGE S oo°lo' 51"E • ON 0 LII hl %! h rI �1 PI v- I I I Z' I 12' I IV Q, I o0o 6,AL. SEPTIC TANK 'x24 Ny Hous E 1 98.83' LAMER Rp.