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1984, 04-04 Permit: 84A-2910 Enclose Porch PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY `54'A - acik® NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES .BIO..r STREET ADDRESS PARCEL NO. 1. N . az W«3Lx n ©4s4-4,-©-T7€ LOT BLOCK SUBDIVISION LECA!• DE ;RIPTIONr-7..ti,ra V�t 444.0402. 'N.110'Of �'. ZldY or--02_"4_7(.5Cop Co t OWNER ,PHONE PHONE 3. c'e.6 o Bz.is (,.a ftp-i 4- MAILING ADDRESS ZIP Actual Set Backs in Feet to: Ivk t 5-r,fv 4 1(<)-2�2. L.5.- IL L.IIZ Cte-AZGC North (South 'East IWest Z6' CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential yt.0 j I 3-- C., Ac;,Q„1, Commercial 0 4 y�E ADDRESS ZIP Type Const. Occupancy Sprinklered y - --X51/4-= «Z ❑Yes ❑No ❑Req'd DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 5. 4 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 TYPE ❑ NEW MALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7 WORK I "BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER Certifi.of Exempt. Required Yeah Not Number or Variance Received Yes❑ No❑ 8 DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑ ♦✓I .I..Cf.2E C.1Ct:�Ccts4C, Re-i--‘2-40 Yes❑ Not Applic.0 Received ❑ VALUATION SOURCE GAS ELECTRIC WATER PUBLIC❑ SEPTIC f� Ownership FEES COLLECTED 9. 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 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 REVE:SE SIDE FO• REQUIRED INS• CTIONS Plumbing SIGNATURE OF < . APPLICATION OWNER OR AGENT Ow_ - DATE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env.Health + y� 'v A SEPA Planning Modular/ Fire MFG.Home Prevent. a- a Engineer Other(Specify) v W J_ Utilities tL SEPA TOTAL $ 77-4'4° 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 "` DATEISSUEDO 4 -U / 0o * 1O' U 04.Oo fTech. c56PERMITO.1TA 0 L