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1983, 08-08 Permit: 83A-7480 GaragePLAN 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 STREETADDRESS PARCEL NO. t___ - -3I r rJ I 0tl 'j 1-7 r 4--� — 1-"7-0% 2 LOT BLOCK SUBDIVISION �u r I LEGAL DESCRIPTION: `` ! v OW ER PHONE PHONE 3. MAILING R S( IG d�North _ ` ZIP �� Actual SetBacks in Feet to: South East West CO LICENSE EXPIRES Sizepfrl e aG merc l ❑ Com 4. Aj A ESS ^--r Ty O a[cy Sprlr� LA ❑No❑Req'd. DESIGNE PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area '� 5. ADDRESS ZIP Main Floor Upper Floors Garage/ orae Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE 1:1 ALT. ❑ AD' N. El RPL. ❑ MVE. 7 OF �W ❑OTHER WORK �`D. 13PLMB. F-1 MECH. ❑ M.H. El POOL �rtifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ DESC lB OR ,�j r� �7Shorelines/ 8• P& v ruoo�zJYes Flood Hazard Plans Required El 1/T'r+"�C/ Not Applic. ❑ Received ❑ VALUATION I soOFC 9• GAS ELECTRIIC PUBLICR r SEPT CGE ownership FEES COLLECTED UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Privat@ 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 local law regulating construction or the performance of construction. SEE REVERS& SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION �' OWNER OR AGENT /�^--c � DATE _ — _. Mech. SPECIAL APPROVAL$ PRELIM. FINAL DATE Env. Health Planning Prevent. Utilities SEPA SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PlansPERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Tech mg IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NUMBER � 6 TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE IS" eO l 0 8- u 3 PERMIT Na. 4 8. 0 z X47,00 d0- TOTAL O C C U U Serving the Inland Empire ar= Tbeex Ooaxtie,y STEEL BUILDINGS, INC. EAST 5503 BROADWAY SPOKANE, WASHINGTON 99206 (509) 535-9016 1-800-572-5641 GENERAL CONTRACTOR • LICENSED • BONDED • INSURED for your protection (Lic. No. TO-WN-CS-B263S9) Name pn).3e,e_velaf Address ?JS- (Lc city —5T616+71g sta. cou., rip Crd0 Telephone Hers!I" -CRP eekiz-sob - 13C( Source of Lead Lol- 0 ac (Pick +zcd iZ - 1 53 cs' < .24-11 view" AL bp 0