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1983, 04-22 Permit: 83A-3181 PorchPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOK:ANE, WASHINGTON 99260 / (509) 456-3675 STREET ADDRESS 1. . 0 v ;?p T BLOCK 2. �j -7 OWNE 3. � b MA6NGADD E S CO.NTNTRACTII Q �i 4. AD ESS DESIGNER 5. ADDRESS APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE -3 -COPIES ___jPARCEL NO. v'CJ SUBDIVISION LEGAL DESCRIPTION: v24e�r_ k'zrAJ iM , 4 1< I.. _- 16 �q fti2 LICENSE EXPIRES %i415' ZIP North I South PHONE Size of Parcel Cover4�ck 11 7. Fin. Basement ZIP TYPE El ytW El ALT. AD' N. El RPL. El MVE. Type ¢ons . Floors No. Fin. Rooms No. Dwellings PHONE New Const. Val -%G ZIP Required I Main Floor East West Zone Classification I Residential Commercial ❑ Sprinklered ❑Yes ❑No ❑Req'd. ed Valuation I Total Bldg. Floor Area Upper Floors I Garage/ Storage CHANGE OF U6. SE FROM TO Cover4�ck 11 7. Fin. Basement Unfin. Basement TYPE El ytW El ALT. AD' N. El RPL. El MVE. No. Baths No. Floors No. Fin. Rooms No. Dwellings ❑OTHER WORK BLD. EIPLMB. 1:1MECH. ElM.H. ID POOL Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ DESCRIBE ORK 8. d �r ` Shorelines/Flood Hazard Plans Required Yes NotApplic. ❑ Received ❑ VALUATION SOURCE OF 9 OF GAS ELECTRIC WATER PUBLIC WAG EPTIC Ownership ;�[ FEES COLLECTED 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 20 work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building 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 REQUIRE RINSPECTIONS Plumbing SIGNATURE OF APPLICATION n OWNER OR AGENT DATE ,`L Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health SEPA Planning Modular/ MFG. Home Fire Prevent. Engineer Other (Specify) utilities Plans 'ERMIT IS NONTRANSFERABLE Exam. ERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED ch.ing Tech. eIN 180 DAYS `tech. TOTAL $ 20. WHEN MACHINE VALIDA'1 ED IN THI T HIS BECOMES A PERMIT. PERMIT NUMBER gI v DATEjs D2 2— 8 3 PERMIT�6 "- 1 z * 2 O. O 0 -000tAL 0 C L u u L-I>l i � Lz, '�r