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1983, 12-19 Permit: 83B-2652 Residence PLAN NUMBER PPLICATION/PERM IT PERMIT NUMBER •SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY .e, '. - v NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. _5—co--Vt.,Lf107 4.Lky / '4 ... 2c--5-1 LOT BLOCK SUBBDIVIS,IIOPN /� /� / / LEGAL DESCRIPTION: 2. 9OWNER ^/ 1746.Ae.-►>- / �h/C.. O 5, ,GCPHONE /CY h �±A 9 4 ,� AO 3. ti--)X. e� .1JS`c.l•G. -Z.)G. c/,-5(--‘q g)1" PHONE // f-<i'QY P2. -/< /s/ . /7t�C/ ° MAI G ADDRE 3 7 /I— ZIP j Actual Set Backs in Feet to: it n. 'C./ /5/e eV 99z/ ,North ? (South 'O East I wage CONTRACTOR LICENSE EXPIRES PHONE Size of( rely_/00 iv_ Zone Classification Residential 1:::!, • 4. 5' . ?lS `s.- F c.7 Commercial❑ ADDRESS ZIP Type Const. Occupancy Sprinklered a0.1 12161-I ❑Yes Allo ❑Req'd. DESIGNER PHONE New Const.Valuation I Remodeled Valuation Total Bldg.Floor Area 5. 13 ADDRESS 4CIOs ' ZIP Main Floor Upper Floors Garage/Stprage Greenhouse t 5�'2-- /c>:3 9 ��x CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. l,3© r No.Baths No.Floors No.Fin.nRooms No.Dwellings 7• TYPEOF .K NEW CI ALT. AD'N. RPL. MVE. ❑ OTHER 3 WORK iNkBLD. ❑ PLMB. ❑ MECH. CIM.H. ElPOOL Certifi.of Exempt. Required Yes❑ No❑ Number or Variance Received Yes Non DESCRIBE_WORK f !/�1 / Shorelines/Flood Hazard Plans Required CI8. c r)7'fe f' 6y1 i f y 1S F<3 r 4e 1rCt_ `(�/ G%y c'*J� a f Yes Not Applic.❑ Received VALUATION SOURCE GAS ELECTRIC WAPUBE,ffi SEPTIC TER SEWAGE wnership FEES COLLECTED 9. UTILITIES W.(e) PRIVATE❑ SEWERY 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 Building "fit.c 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 SIDE FOR REQURED INSPECTIONS Plumbing SIGNATURE 0 ----1-- f 42-7-7:-.e-7,—..-1 DAPLICATIONS `OWNER OR AGENT, �'v C G DATE l5✓• /C'� /7 Se. Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env.Health , p / f�f SEPA Planning ✓ Modular/ MFG.Home )- Fire Prevent. d O Engineer �\ 11 / _ � Other(Specify) W� Utilities _ LT. TOTAL $ ���f WHEN MACHINE VALIDATED IN THIS SPACE, Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED "-'inq W., IN 180 DAYS 1 1 DATEiSSUED1- % u , PERMIT'DICY. . ) z 4 6 7, 0 6 7�T,►L /Li ::.3- I j 1 .-- . <1. 211.'. . . o l /97 ! 2.� ry N ,1- Vr""-----. ....., ,z. NOS, tit cr:. ric..... . • • �_) 30 ' ,a . 1Q 4 17.. 3 ff , , , 4 - , f L NII IZNI1 f ! t , I Do J r 6 1 n n-liit ,//if /s 7 i9-# So /C'a 7 /ocKy //r'cc t2tv-