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1983, 10-03 Permit: 83A-9850 PoolPLAN 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 1. LOT 2. (U BLOCK 3— S 15 I el NEt / 9_. oR1� SUBDIVISION OWNER n 3 AAAC aRI k.InAof/3At3&' MAILING ADDRESS S Ist� N-ewsa '- CONTRACTORLICENSELICENSE EXPIRES AC PARCEL NO. 235 —38©(Q siltLijA3 way , PHONE PHZZONE M 3529 4. LEGAL DESCRIPTION: ec k'b3``7 Actual Set Backs in Feet to North I South PHONE ADDRESS ZIP DESIGNER 5. ADDRESS PHONE Size of Parcel OSx I 0 Type Const. jOccupancy t7i1 New Const, galuation East ISI . I West — (zo)/ Zone Classification f9� Commercial 0 I-1 Spr"nklered ❑Yes ONo ❑Req'd. Remode ed Valuation Total Bldg. Floor Area ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement Unfin Basement TYPE ceN"-EW ❑ ALT. ❑ AD' N. 7. OF BLD. 0 PLMB. 0 MECH WORK ❑ RPL. O 19E. ❑ M.H. POOL 0 OTHER N0. Baths No. Floors Certin. of Exempt a Variance No. Fin. Rooms o. Dwellings 07, Required Ves❑ N Received Ves° No❑ Number 8. ISX �1 ABoUE 6 D -PO &/- VALUATION t ELECTRIC DESCRIBE WORK 9. SOURCE OF UTILITIES GAS WATER PUBLIC ❑ PRIVATE 0 SEWAGE SEPTIC 0 SEWER 0 Shorelines/Flood Hazard Ves❑ Not Applic. ❑ Ownership Public 0 Private I hereby certify that I have read and examined this appl cation 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 REVERSE SID FOR REOUIR r INSPECTIONS SIGNATURE OF /, OWNER OR AGENT APPLICATION °//8-3— r SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. Styl6 fa3 SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plans Required 0 Received 0 FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) ?00'— TOTAL $ ZS PQRMIT NUMBER 3Fb kESo 02* *2500 *25008 A *0.00 g 98&8 10=03-83 2 6479. 0 O G.1 W LL WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. ji h4' ztl 4. DATEUSSUEDO /1 — 8 3 oo p. 5:0 z PERMITM&. *25,OOtAL ,o -4--16 S cn i=• 3 -/i a CO N13/, (.or G alk 3 SuGLivtlN LaA�jIN?' 2' ' x,2'1 1 a ' i /a g/G/4 F-na.cAr "0 —/2 Lew M 1 21' ►� —1—/3– —22 —�-� 04 S9, Pr. ;RR/aGE 4 secoP£ ID, /040 �. NO cc SE 4-- is SGOPE =-s /S APRPoFc// NEWER RDAD