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1983, 06-29 Permit: 83A-5970 Residence
PLAN NUMBER APPL ICAT ION /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. LO BLOCK SUPDIVISION Z'^`� LEGAL DESCRIPTION: 2. 101 VkAb I c,v vVLF� OW ER PHONE ONE S 3. WA MAILING ADDRESS \ F Actual Set Backs in Feet to: 10 1 Z Z 0 3 North 2� South Z'j East West t 1] Z`) CONTRACTOR LICENSE EXPIRES PHONE Size of Parcell Zone Classification Residential a '� C. ©® X o i P.t' c z Commercial c 4. ADDRESS ZIP Type Con t. �I Occupancy P3 &kt Sprinklered ❑Yes El No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area annL1✓ 2 S S -9Zo-) 4;;4 z- D 11 5. ADDRESS Z P �q Main Floor Upper Floors Garage/Storage Greenhouse o 2�Z 11a5 _" y® — CHANGE OF USE FROM TO Cover Deck 14,` 50 Uncv. Deck 1 Fin. Basement Unfin. Basem, 6. 1 Z 63q ce TYPE B4EW ❑ ALT. ❑ AWN. E) RPL. ❑ MVE. No. BathsNo. "Z_ Floors No. Fin. Rooms No. Dwellings 7 OF WORK [+BCD. ElPLMB. ElMECH. 1:1M.H. ❑ POOL ❑OTHER Certifi of Exempt. Required Yes❑ No Number or Variance Received Yes ❑ No ❑ DESCRIBE WORK 8• Shorelines/ Flood Hazard / Plans Required / Ir�Q,I]^ Yes❑ Not Applic. C3/ Received C� VALUATIO 9 SOURCE OF A's ELECTRI WATER SEWAGEOwnershp PUBLIC SEPTIC ❑ FEES COLLECTED UTILITIES PRIVATE ❑ SEWER ' Public ❑iivate 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 cor ect. All provisions of taws and ordinances governing this type of "3Z Cp work will be complied with whether specified he in or not. The granting of a permit does not presume to give au- thority to violate or cancel t Ovisions of n oth r state or local law regulating construction or the performance of construction. SEE REV E FO UI D INSPECTIONS Plumbing SIGNATURE OF 11 APPLICATION OWNER OR AGENT DATE +v Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities Plans PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Tech. Pian Check SEPA Modular/ MFG. Home Other (Specify) PERMIT NU C MBER V TOTAL $ Z 4 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. o6r1ATF ISSI IFIL 2 9 — 8 PFAMIT 5 9 7. 0 z * 3 2 6. 0 0°NA - C C C u u Ave., Ham, JKc, 1 S Lot 8 81 oc�- 3 k' d f r (U1Mk `Z rd ,-dx �i. Z11 R� 96zo;