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1983, 07-12 Permit: 83A-6412 Deck RoofPLAN NUMBER APPL I(CAT ION /PERMIT PERMIT NUMBER SPOKANE COUNTY - DEPAR,rmENT OF BUILDING & SAFETY e,�)A - 6`24 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES 1 STREET ADDRESS I PARCEL NO. 14r �p 'IMG/ �- — 0 LOT BLOCK SU�Dl SION LEGAL DESCRIPTION: 2. fes= LJ � OWNER P PHONE 3. MAILING ADDRESS_ 7 t Actual Set Backs m Feet to: .115-2 (-� North South East West CONT C O LICENSE EXPIRES PHONE Size of Parcel Zo eClas'ficetion Residential U r Commercial ❑ 4. ADDRESS ZIP Typg�_ rMst. Occupancy Sprinklered v N Dyes ❑No ❑Req'd. DESIGNER PHONE New Const. yalyation Remodeled Valuation Total Bldg. Floor Area 5. CJfI 9 UTILITIES PRIVAT ❑ SEWER ❑ Public ❑ Private I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includedon 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 law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF �% jJ �/ APPLICATION OWNER OR AGENT /L�t=r%'�'�G�61 ,�� t� DATE �' Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG.Home Fire Prevent. Plans�J PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building —71:2 IN 180 DAYS Tech. Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ' z DATED�%uED1 2 -8 " J PERMIT�1041, 2 z *20.00" Y CL O C3 W J_ LL ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROMTO r Uncv. Deck Fin. Basement Unfin. Basemi 6. �-- No. the No. Floors No. Fin. Rooms No. Dwellings ❑ N ❑ALT. -- SAD' N. ❑RPL. El MVE. 7• OFPE El OTHER -T WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL Certifi.ofExempt. Required Yes❑ No 1-1 Number or variance Received Yes No El 8 DESCrIBE O K� 5�i I f N Shorelines/ Flood Hazard Yes❑ Not Applic. ❑ Plans Required Received VALUATION I SOURCE OF GAS ELECTRIC WATER PUBLIC SEWAG SEPTIC Ownership FEES COLLECTED 9 UTILITIES PRIVAT ❑ SEWER ❑ Public ❑ Private I hereby certify that I have read and examined this application and have read the "NOTICE" provisions includedon 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 law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF �% jJ �/ APPLICATION OWNER OR AGENT /L�t=r%'�'�G�61 ,�� t� DATE �' Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG.Home Fire Prevent. Plans�J PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building —71:2 IN 180 DAYS Tech. Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ' z DATED�%uED1 2 -8 " J PERMIT�1041, 2 z *20.00" Y CL O C3 W J_ LL