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1983, 03-25 Permit: 83A-2235 Enclose DeckPLAN 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 PARCEL NO. 1 N. (0 M 0C) eje 1 zesl,-5 --- 170 4 LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION: 2. A- 1 -G-tr" PHONE SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE ' rn lg i,N 1%C'L A() 0 y T k->!'4 t.A5 i V'4 G. 6k %-j i ( ry C, Env. Health ct- G c aE -C 41`�Z .00s Planning 1' 14— Prevent. Engineer Utilities SEPA Plans t PERMIT IS NONTRANSFERABLE Exa' a PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NUMBER TOTAL $ C.I •0Z) I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE fSs`uED _ PERMIT 202 3' 5 z * 61. 0 00 L u MAILING ADDRESS ZIP Actual Set Backs in Feet to: ISx [m?Ti N . 61q North South East West CONTRACTOR LICENSE EXPIRES PHONE Si?SX Zone Classification Residential i� 4. ADDRESS ZIP Tsat. Occupanc Sprinklered ❑Req'd. 2 Dyes ❑No DESIGNER PHONE Valuation Remodeled Valuation Total Bldg. Floor Area "Const. " 1 COE) 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement s. ----- TYPE Baths No. i_-�-- Floors No. Fin. Rooms No. Dwellings ❑ EW I/ALT. ❑AWN. ❑ RPL. ❑ MVE. ( lI 7. OF ❑OTHER QLD. El PLMB. El MECH. E] M.H. ❑POOL �ifi.ofExempt. Required Yes No Number WORK or Variance Received Yes❑ No❑ DESCRIBE WORK 8• ` Shorelines/ Flood Hazard Plans Required OV E&)4r1L 5S -e1_ Yes Not Applic. ❑ Received VALUATION I SOURCE GAS ELECTRIC I WATE PUBLIC SEWAG SEPTIC Ownership FEES COLLECTED 9 LI UTILITIES PRIVATE ❑ SEWER ❑ 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 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 REQUIRED INSPECTIONS Plumbing SIGNATURE OF — APPLICATION/ OWNFR OR ArFN L�-�DATE �L> _ Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE ' rn lg i,N 1%C'L A() 0 y T k->!'4 t.A5 i V'4 G. 6k %-j i ( ry C, Env. Health ct- G c aE -C 41`�Z .00s Planning 1' 14— Prevent. Engineer Utilities SEPA Plans t PERMIT IS NONTRANSFERABLE Exa' a PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NUMBER TOTAL $ C.I •0Z) I WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE fSs`uED _ PERMIT 202 3' 5 z * 61. 0 00 L u