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1983, 04-06 Permit: 83A-2707 Pool
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 STREETADDRESS PARCEL NO. 1. cJ -�JC7 (..� ISD i 1i�R ✓ 1 T' �J � �r ,j - 70 -$7 - LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. t O"OrL-A e -t^*, OWNER PHONE PHONE 3. 6A2,i Iq -AS 4-t-,1 t.1 MAILING ADDRESS ZIP Actual Set Backs in Feet to: 5 - 4 30`5 LA N . U M-, a `r q gG( North (P-7' South East 4Z?f West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential[' don,% � 4. I<c3 K i Commercial C ADDRESS ZIP Const. Occupancy Sprinklered N . _T:,i N t rType v i`� '�- ❑Yes El No ❑Req'd. DESIGNER PHONE *2onst. Valuation Remodeled Valuation Total Bldg. Floor Area 5 ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck I Fin. Basement Unfin. Basem 6. No. Baths Floors No. Fin. Rooms No. Dwellings TYPE INEW El ALT. 1:1 AD'N. El RPL. ❑ IyIVE.WORK [No. 7 El OTHER ElBLD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL Certifi. of Exempt. Required Yes N' Number or Variance Received Yes❑ No❑ DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑ 8. 4 rv► AN. NZ C5©te l e.� 2C e Yes Not A plic. ❑ Received ❑ VALUATION SOOURCE GAS ELECTRIC PUBLIC ❑ SEPTIWATER C E Ownership FEES COLLECTED 9 a 1 c)� 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 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 Plumbing SIGNATURE Cl:.- S% APPLICATION4zxp Mach. OWNER OR AGENT DATE , SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health 4Y � � � SEPA Planning Modular/ MFG.Home Fire Prevent. Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Tech. % 4 Other (Specify) "2S7. TOTAL $ WHEN MACHINE VALIDATED IN THIS BECOMES A PERMIT. PERMIT NUMBER Z'7o7 E, DATE64JEa u -8 5 PERMIT�1. "' / z * 1 5' O 0 0-j C C C L L /DO " I I�JiJ � S �! - -- — -- , --- --_ Ll o a J. 7 y�• dor S' l3,ca�,r PORDRA ArAIr ol [/A i VE { .. i ,� ✓ IMM ri