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1983, 09-15 Permit: 83A-9082 Storage
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 1. LOT 2. OWNER 3. \J€YLN..) 17 MAILING ADDRESS S. e -I V0 CONTRACTOR 4. ADDRESS (2't WIC- -DESIGNER 5. ADDRESS BLOCK PARCEL NO. 4-31 (4. SC -44 2 32 44 -40•)_ •) SUBDIVISION 32crrt.trvc,, PHONE PHONE �G -143 LEGAL DESCRIPTION: ^ o t.%)%f 1 EBF 5C.1/4 y(0- `B++.014 r' st Y4 t_`F Cx . t .. F SCL4 p FfE n Ro. Sc R Fe ZIP Gt'�t �.crY LICENSE EXPIRES PHONE Actual Set Backs in Feet to: North 'South �[East Size of Parcel -3 S IWest z Zone Classification ft.C.t. cZ t Residential Commercial ❑ ZIP Type pnst. O i nc Spr nklered ❑Yes ❑No ❑Req'd. PHONE Aew Const. Valuation Remodeled Valuation Total Bldg. Floor Area lick ZIP Main Floor Upper Floors Garage/Storage tt CPO Greenhouse CHANGE OF USE FROM 6. TO ❑ RPL. ❑ M.H. TYPE 'NEW ❑ ALT. ❑ AD' N. 7. OF a WORK BLD. ❑ PLMB. ❑ MECH. DESCRIBE WORK 8. —De T'.Ac,t:+ �,�219Citr VALUATION 9. SOURCE UTILITIES GAS Cover Deck Uncv. Deck Fin. Basement Unfin. Basement ❑ MVE. ❑ POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certif1. of Exempt. or Variance Required Received Shorelines/Flood Hazard Yes NotApplic. ❑ Numb[_. Yes Nob Yes❑ No❑ // Plans Requ red IJ/ Received B ELECTRIC WATER PUBLIC PRIVATE E SEWAGE SEPTIC V SEWER ❑ Ownership 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 SIPS FOR REQUIRED INSPECTIONS R SIGNATURE OF OWNER OR AGEN1V APPLICATIO DATE 1 SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE RE ERSE SIDE FOR NOTICE) 17, PRELIM. FINAL, DATE46' ,t! 55C,` w/ Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ ©2.4179 PERMIT:UMBE 7 \ — WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEgSSUED` 5 I- 8 3 PERMITN9. "' 2 z * 8 2. 0 O'*AL crtl o rrtl 0 cr, rn a cf 0 cr -CD Vern D. Bromling Phone: 926 1438 po 1-1 po cTq CD 3 3 Horne 3 3 Stall Barn 3 3 S. 4316 SCHAFER..ROAD (approx. 3 acres plus)