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1983, 09-07 Permit: 83A-8682 MHPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 1. LOT 2. )i V Owl, 3. J 4. APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES PARCEL NO. Z! _ S.,S'ic���1 `� v `� y a - I ©oz - _R >4,h �Omr1�Ss NG ADDRESS G > fi3d�i`34 RACTOR I t 'Tn ` t ER 5. ADDRESS l`� AL\D PHONE PHONE (oZ3 45157 r- UA L� ZIP a38k-01 LICENSE EXPIRES PHONE X 1 ZIP Commercial ❑ PHONE Type Const. ZIP s. CHANGE OF USE FROM I TO TYPE ErNEW ❑ ALT. ❑ AD'N.❑ RRPy, ElMVE. 7 OF WORK El BLD. ElPLMB. ElMECH. M.H. ElPOOL El OTHER PERMIT NUMBER f3`3A - sGarz- /M:nlal OM DaUM lfl reel w: r+ +.[ice. + l�7 + North I 0 South ` East f I�f West 4 (� Size of Parcel Zone Classification Residential X 1 Commercial ❑ Type Const. Occupant Sprinklered .VT N ❑Yes ❑No ❑Req'd. New Const. Valuation Remodeled Valuation Total Bldg. Floor Area Main Floor Upper Floors Garage/Storage Greenhouse Cover Deck Uncv. Deck Fin. Basement Unfin. Basement No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. Required Yes❑ N Number or Variance Received Yes❑ No❑ 8. DESCRIBE WORK 690011111IRPOW Shorelines/Flood Hazard Plans Required ❑ t A • � ns� *k A t � � X (� �� Yes❑ Not Applic. I'1— Received ❑ VALUATION I SOURCE GAS ELECTRIC PUBLIC ❑ SE TIC Ownership FEES COLLECTED 9• UTILITIES PRIVATE ❑ SEWER ❑ 1 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 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 REQUIRED INSPECTIONS SIGNATURE OF APPLICATION OWNER OR AGENT ;,; to �'ems, A -a—<2 DATE A A, 5PECIAL APPALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)' PRELIM. NAL DATE p �� Env. Health (,�V�"�v }i Planning" �/ {- `1 y� Fire I v _ 1_ L t L `-I� J� 5y, P _t) p 4 Prevent. Z Z3 -0 t 7 Engineer WA I Utilities ^► X15 +' fL �1t�DN Qc3�ti`���`5i��l6N %,,I SEPA /Vcnl Goyv ttit�m. Nh 56 fi3A- �E£ (a d� Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Buil Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home 19_Q� Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS BECOMES A PERMIT. Y1 DATETSSUEDO — PERIVI.A _ z * 1 a O O $n*oL U z 5" - TiL- S-5- — QI L uoWck.-,-QL.-e(r "."i a i