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1983, 10-11 Permit: 83B-249 Mechanical Fixtures
PLAN 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 PARCEL NO. C 2. LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION: O NER "' �1-),ON ' „75-56 f PHONE 3. ILING ADDRESS ZIP Actual Set Backs in Feet to: North South East West CO TRACTOR LICEN4EjiXPIRES PHONE-/ // Size of Parcel Zone Classification Residential 4. Y�7 Commercial ❑ REZIP Type Const. Occupancy Sprinklered _3 G ❑Yes ❑No ❑Req'd. 9R PHONE New Const. Valuation Remodeled Valuation Total Bldg, Floor Area 5. AIJORE66 ;± ,cJ ` : e ZIP Main Floor Upper Floors Garage/Storage Greenhouse rv. z CHANGE OF USE F NA = --> '. ':'.c ,y TO Cover Deck Uncv. Deck Fin. Basement Unffn. Basement s. TYPE � ,,CT� No. Baths No. Floors No. Fin. Rooms No. Dwellings ❑NEW ©.AC. El AD' N. El RPL. ❑ MVE. 7• OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. [y1 CH. ❑ M. H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes❑ No❑ DES IBE ORS //v1�, 8 Shorelines/ Flood Hazard Plans Required ❑ �i' /�L r G Yes Not Appfic. ❑ Received ❑ VALUATION 9 (��' SOURCE OF GAS ELECTRIC WATER PUBLIC ElSEPTIC SEWAGE 1-1Ownersn'p FEES COLLECTED �� UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ❑ 1 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- Building 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 Plumbing SIGNATURE OF APPLICATION , C1 OWNER OR AGENT DATE �r Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env. Health Planning Engineer Utilities SEPA Flans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building Tech. I N 180 DAYS SEPA Modular/ MFG.Home Other (Specify) PERMIT NUMBER TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 24.9Z nATF IS3t1Fn PFPINIT Nn *19,000) TnT e i 0 C C LI U