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1983, 05-05 Permit: 83A-3693 Pool PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER eJSPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY B3 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 91 Zz- TI AvNAV oc4H z - t8o1 L T BOCK SUBDIVISION LEGAL DESCRIPTION: 2. (AAI(2.tm 5 s 1• rES -' (-42OWNER P-IONE PHONE 3. C_oIU �U .t 0(J W2.R-35-4=iS MAILING ADDRESSp }}�� ZIP Actual Set Backs In Feet to: + l 1 Z 2_ TiTt c v Ay North e)'W 'South `p East I West t 1 / CONTRACTOR , LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential H 4. too I VUorLD ` t IY‘�., ( ' /5 of GI it (vSS I'5 00 K ) t� 741P- I Commercial❑ A DRESS _ Z, L IPP Type Const. Occupancy Sprinklered T6' I3tSZ4 Vi-01 Li,_, 419 I (.G 1fI11 If ❑Yes 0 N ❑Req'd. DESIGNER t PHONE New Cont.Valuation Remodeled Valuation Total Bldg.Floor Area 5. 111000 6 f& n ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6. / No.Baths No.Floors No.Fin.Rooms No.Dwellings - /1, 7 '' TYPE C(EW 0 ALT. ❑ AD'N. 0 RPL. ❑ myE. -- / 7 OF ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. OOL ❑ OTHER Certifi.of Exempt. Required Yes❑ No[�' Number WORK or Variance Received Yes Na❑ a— DESCRIBEp WORK ` Shorelines/Flood Hazard / Plans Required❑ 8' Ie) v 3� 5 w 1 O o k--- Yes ID Not Applic.�/ Received ❑ VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership 9 OF PUBLIC❑ SEPTIC❑ FEES COLLECTED UTILITIES PRIVATE❑ SEWER❑ 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 ray -- work will be complied with whether spq¢ified herein or not. The granting of a permit does not presume to give au- thority to violate or cancel the provis's s of any other state or local law regulating construction or the performance of construction.SEE - VE: E . FO- R •, RED INSPECTIONS Plumbing SIGNATURE OF � _ //�. ; AATEAPPLICATION - P Mach. OWNER OR AGENT ��r.�,i A __ �' SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env.Health Sr SEPA Planning /// Modular/ Fire MFG.Home >- Prevent. a- O Engineer Other(Specify) V W _J Utilities LS' TOTAL $ SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS _ Tech. ft* C/Li EYS DATSUEIwO(� Ia.5 —8 3 PERMIT 9. 3:z * 2 5. 0 0 W1rAL . .........•••..................r... --ann.. .-.--svpmr11.0.1•10, i f . 1 r / , . 1 ) ) ) ) / ) / i ) ) 1 I / ) ) ) ) / / i i i / i / ) / / I / / i i IP I / i i ) ) ) • "'4dk(-4 Ir---7 1 ; i : r--- ' ------------1, i ! . 1 ,v... i N\ 7C--- 16-?'--- \ , ! 11%4, ... i f ... ,17 . _ . • —O-7 I-7 ,,.. -ye•-k7-6,,,//......z --? z (/0-7