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1983, 06-03 Permit: 83A-4813 Residence
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER 7) .150 SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 3 A 9s i a. NORTH811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 ' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. \32.1 E 3m1- Z2 1 —Q fl") LOT BLOC SUBDIVISION LEGAL DESCRIPTION: 2. Sim 16-cc,1 , LeltEA L-AA ADD► OWNER PHONE PHONE 9 A ^ 3. � (l _ Co vl" 46(p- oat o 1 ELe MAILING ADDRESS ZIP Actual Set Backs in Feet to: 1t4 0 "Si` i IE 1`'t we> North [South Z 5 ' East I j)i I West CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classif ication Residentially 4. G mese_ CHI T' 155"$--1 AC Commercial❑ ADDRESS ZIP Type Const.,SOccu ncy1 Sprinklered V C3JA l ❑Yes ❑No ❑Req'd. t 1, RESIGNER ___PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area ( i C L`. 5. R0irr1\13j s i�r i1'©3=1(,z cL 41,,_9/5- - 1901 ADDRESSMain Floor Upper Floors Garage/Storage Greenhouse ' ��ori�i�3c� P � It3-7 -- z.CQ (i CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 6. �� _ / No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE �N ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. :' ,�r 7. OF ❑ OTHER 1 ( s WORK BLD. ❑ PLMB. ❑ MECH. ElM.H. 1=1POOL Certifi.ofExempt. Required Yes❑ Nord Number A or Variance Received Yes❑ No❑ 8. DESCRIBE WORK Shorelines/Flood Hazard/ Plans Required I j rittik_ $ l,�) ( P gr / E/ Yes❑ Not Applic.Hi Received Q�VALUAT ONOOURCE GAS ELECTRIC pWATER_„UBLIC IV SEPTCG® Ownership FEES COLLECTED 9 ILITIES 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 201 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 OF n I-J APPLICATION OWNER OR AGENT In-Q�ri o �` Jl DATE $ l 25 Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env.Health g/G/'/8 5-a6 SEPA Planning Modular/ Fire MFG.Home Prevent. a. O NtL Engineer Other(Specify) V IL Utilities TOTAL $ 2-99 ii SEPA Plans ¢ PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Exam `"`d f,/u PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED BuildingIN 1 — n Q 1 n Tech. DATE lil80 DAYS a° 38 3 PERMIT NW. 1i z k 2 7 �'O 0 l0 i„L .. . , . . i.:.1,•.',1"r'A., ---2 Eiur,-....-2 4 \ i 50' Doo' 1 A.) 2 I I / 1 /3 _ 50' , lI ep, 10, 1 Iro 00 9.L trpn.c. Rn.,3'___ 10' ! • il /7 \ , . ,.. . \ . \ ........j7 , A \ 1137 Sri, Cr 3 bcI I bil 13 ii".Ail mAi., f ION( 2.ico71a, 12 7—• — i ,4,„.•E . , $ ii 1 V o 1 . . ° V . v .r• _ve,,,,, Ad II '% - • (I .. /J, - /. ,„/ ..,:, . ...._ _ Thor OAT -7,4•00L, Lt0A-nik) bbvE__1)(0 . ihici-Z_- 3 DEAN GREER W. 4404 S:'41.',VNEE SPOKANE,WA '.'''',Xf3 "3