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1983, 12-14 Permit: 83B-2517 ResidencePLAN 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. �. S. '3Z/3 RoBig_ Poop 354- - ;:Zoa�. LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. Z. 1,,t12j .-6MF 2ND APPMcN OWNER PHONE PHONE 0AI✓S WC <7 z - 7+1 MAILING ADDRESS /O 112 FM r4 i (S'?q-267.North ZIP Actual Set Backs in Feet to: Y 3,) � � —�G I 1 � .Z South East L l West to CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel i Zone Classification Residential�� 4. i f X 153.E 51NC LJi FAMY1 Commercial ❑ ADDRESS ZIP Type Occupancy Sprinkl red `C'onst. Y -N P__ 3 ❑Yes El No ❑Req'd. DESIGNER PHONE N7 Co t. ;� IO& Remodeled Valuation Total Bldg. Floor Area / 5.ADDRESS ZIP Main Floor, Upper Floors Garage/Storage Greenhouse 00 62- o CHANGE OF USE FROM TO Cover Deck Unci. Deck Fin. Basement Unfin. Basement 6. "_ '�. "r. 00 No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE ❑ ALT. AD'N. 11 RPL. 11MVE. 7. ❑OTHER ,/NLDEW WORK p 4. 11ElElPLMB. MECH. M.H. ❑ POOL Certifi. of Exempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ 8 DESCRIBE WORK Shorelines/ Flood Hazard Plans Requir $ iVERZE — %Q- Q%F_ uNM — PiEC S A-IrrAC HED Yes❑ Not Applic. ❑ Receiv ❑ 9• VALUATION I SOURCE I GAS ELECTRIC I pWA E O SEEP ICGE 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.provisions of laws and ordinances governing this type of 33 ,XI work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building r�' "v� thority to violate or canc rovisions of any_44he state or local law regulating construction or the perfo mance of construction. SEE PXVERSk'S_jbE owl INOEeTms Plumbing SIGNATURE OF �'L°E�, APPLICATION / OWNER OR AGEN DATE I f� Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE ow M he Env. HealthA, Ip>� I /N Planning A �7 Prevent r1� Utilities SEPA Pians PERMIT IS NONTRANSFERABLE Exam. /% PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building 1' IN 180 DAYS Tech. Plan Check SEPA Modular f MFG.Home Other (Specify) PERMIT NUMBER _ �5 crc TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 22 -L4 -8X1.76 *338.�G`C�TAL DATE ISSUED PERMI C t C L L c_c.�E pa"Ycj --�- 33s41—soma q74 f s"a A e 0 A I$�4�10 23 C" A e 0