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1983, 04-08 Permit: 83A-2732 Residence PLAN NUMBER - - APPLICATION/PERMIT PERMITNUMBER t03 -O73 SPOKANE COUNTY — DEPARTMENTrrOF BUILDING &SAFETY ' 13�- NORTH 811 JEFFERSON /SPOKANE,WAS:'S��INt TON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS k,eyW� i Vis, PARCEL NO. 1 �T;7 Elt 01 suBDi WtbNU �? 0 LEGAL DESCRIPTION:TON32 S/1 ~ 2_0 1 2. I 3 i7 °Y-4`/ A-1 LUQ - 1.rar-i�noNi1 ar i.a'r I OWNFR PHONEPHONE 16(-1#1/4L y( kt 516 3. JAS 1 v i - r 53' 17` 0 �� MAILING ADDRESS p Actual Set Backs in Feet to: re) �O I (09�o _iI I I I "t I ` / c North '�i South East West'25 � � � � � CONT A TOR LICENSE EXPIRES PHONE Size of Parcel ZZonneCJ ifiic�ation Residentially r', L f 6 _ � x � PPL i° Commercial❑ U 4. ADDRE ZIP TypeCCC000pppst. Occupan y , Sprinklered ;1, s�, ' 'r, VI I DYes ❑No ❑Req'd. Ndii000^I J L3C'.G DESIGNER PHONE New nst.Valuation Remodeled Valuation Total Bldg.Floor Area - 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 168 & 9'' (p f; 479, CHANGE OF USE FROM TO Cover Deck Uncv. k, Fin.�Bc en Unfin,Baseq�ent At- s No.Baths 1/ No.Floors -/IL No.Fin.Rooms No.Dwellings , TYPE ❑ NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 4-1/2-- .7-- i 0 1 7. OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. CI M.HPOOL Certifi.ofExempt. Required Yes7MA No Number or Variance Received Yes No El IR DESCRIBE WORK Shorelines/Flood Hazard Plans Required ffi3�' 8. I� _s 19�i� / e v Yes❑ Not Applic.D Received lir I l��,l SOURCE GA� ELECTRI WATER SEWAGE ; VALUATION PUBLIC SEPTIC Ownership FEES COLLECTED s 9• UTILITIES PRIVATE D SEWER❑ Public D Private I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on p� reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building 40 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 - .visions of any other state or local law regulating construction or the performance of construction.SEE REVER •E • • REQUIRED INSPECTIONS Plumbing SIGNATURE OF �% APPLICATION g _ 30_ (�'-T OWNER OR AGENT ��• DATE �J-- Mech. SPECIAL APPROVAL SPECIAL C•NDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL D E ,�, ce �T Plan Check Env.Health (������ f '�'G ` SEPA i/ 1{- <„rJ'( 1.4.- . (jt - v'( -K1 W Zzv ,moi j Planning �/'�j�/�? 4.7 �G ) �/�'� Modular/ n eR 4-_,x,-;.....re- y47j ji�Z4 ,, ,,,,...„6„:_,,,,,,,,..z/c2.4 ..c'�l i, MFG.Home ›. Fir •e 0 Prevent. r mC cOXfiYBC �l'�'K► ;.V.-^'1/4.41's4 nilLC.is r v '' Engineer Other(Specify) W 9 Utilities LL TOTAL $ 46 SEPA WHEN MACHINE VALIDATED IN THIS SPACE, Plans . PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. f PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED //�� p �77 ;; Budding IN 180 DAYS ,la DATEQSSUEdJ 8 -8 3 PERMIT O.I 2 z * 4 6 O.O O aOTAL Tech. j 37© 9 5 cooam1U F t= 'Po AD 93' CoN CR£ DRivRwAY J.:Vt • I1 ' c”' GARAGE .;q ----I•..._ .. 1 ' ''''''''''''4 w ) a i., �! 3 BEPRooM House .,r. I i o ,l,aa ckr1 111-i 11. 4 IL_ t 4� 4 1 1 3' Ids, I 1 + I 11 IUb.Qt. LEGALp()RcE'L I.,oT 1 'Lar K 3 (ri- oJ ) = - PoNnE-n3 A 3294! - mor'... k ui r 1-i (;DDiT °^I w 1' 1 .c: en,4, G N,6 .Y cotcN T+i, . ,, ter' cervi 1 v, ,k.' -j n 5E.; t.Y 10 5,