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1984, 02-06 Permit: 84A-1002 ResidencePLAN NUMBER APPL ICAcT ION /PERMIT PERM T NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY b4A -10,02, NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. ,. s, •Ion ITA PPV V� 20513 - f 72,E LOTBLOCK SUBDIVISION LEGAL DESCRIPTION: 2.25 , I m i ccs PSK 0 or,3 OWNER PHONE PHONE - L 3. MAILINGADDRESS ZIP 9 C, Actual Set ks rn Feet to: 1 I i Z 11bi V (? North 5 South East West CONTRACTORLICENSE r EXPIRES PHONE Size of Parcel r f 20.00 ZoneClassification � �� Residential � Commarcia ❑ 4. ( L b ZIP Typte imi . Occupancy Sprinklered ADDRESS Dyes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. ADDRESS ZIPn lour Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unti��as ment 6. et�J1� TYPE TY .NEW ❑ ALT. No. Baths No. Floors No. Fin. Rooms No. Dwellings ❑ AD'N. ❑ RPL. ❑ MVE. 7 11 OTHER WORK J!4.BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certif I. of Exempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ DESCRIBE WORK��.r 8• Yes0ines/Flood Hazard I �1��-� Yes❑ Not Applic. ❑ flans Required Received ❑ AGF Ownership VALUATION SOOUFCE GAS ELECTRIC PUBLIC ❑ SEWATER PTic 9• FEES COLLECTED UTILITIES PRIVATE ❑ SEWERR''❑❑ Public ❑ 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 Building 2% d� 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 FO REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION ,�// - / -c�'T" Mech. OWNER OR AGENT DATE �? SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check inv. Health Sr z SEPA 'fanning Modular/ MFG. Home y, -ire prevent. CL. C Engineer Ole Other (Specify) C3 LU Utilities U. TOTAL $ SEPA WHEN MACHINE VALIDATED IN THIS SPACE, V/ Plans �/� PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. 1 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building+ Tech. r5l IN 180 DAYS ((�� " Q DATAZiD0 6— S 4 PERMIT�(Cl 0, 2 z * 9 6. 0 r 1na�L PLo7 PL 4 N w L o -F ZS &Lock I /P//`C.4 1`49 R c,gct: Ion ti l Zo.00 i P �1% MICA 1, I �^ I J i 1 j 1