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1984, 01-23 Permit: 84A-625 Addition PLAN NUMBER APPLICATION/PERMIT, PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 4A- ‘ Z NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. t. C't 1 (Z 4.---‘ k4 v=:,�4--2.—t_ 71 C? LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:cip-p&i Z-L,,N,-t y - rA- or 2. Bum --z.4-4- aK c . e . 1 At_. OWNER PHONE PHONE mow -i' �N,L-L..,- 0,24,--&4.4e 3. MAILING ADDRESS ZIP Actual Set Backs in Feet to: e. `C 71 4:" G{G(.2 C?C North I SouthEast I West , CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residentiav = • YVN,t 14-1 k �(— Commercial❑ ... 4. ADDRESS ZIP Type Const. Occupancy Sprinklered Wi rviE '—.-.Cr- Z =3 ❑Yes ❑No ❑Req'd. DESIGNER PHONE NgwConst.Valuation Remodeled Valuation Total Bldg.Floor Area Z2 5. liZ 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 ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7• OF ❑ OTHER WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL C arianExempt. Required Yes El NQ3 tiumger Received Yes No ADESCRIBE WORK Shorelines/Flood Hazard Plans Required d_( A-8. ,I,Q(.-t l 0 ti r° .- Yes❑ Not Applic.❑ Received Lit' Z e'2 t or Nc C. — K L-z-��-1 c N l VALUATION SOURCE GAS ELECTRIC PUBLICO SEPT CG® 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 Building —26,'/D" 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 APPLICATION OWNER OR AGENT DATE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env.Health r 4 SEPA Planning . Modular/ „ MFG.Homey I Fire s Prevent. V Engineer 4 Other(Specify) iii F Utilities TOTAL $ � �' SEPA WHEN MACHINE VALIDATED IN THIS SPACE, Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. t.' PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Budding 1 IN 180 DAYS ((}} " R Q o /, O J Tech. Z1- LI •iC DATE'f5 ED2 3 " ` PERMIT N(6. �� z * 0 O 0 _I _ r 1 . y 4? /1 ,1 s 7 7 / R E 11:11 47p•kv7 e Wn pAa-ne 7Z( -- 61.65' 7 7.2.0 .6 / -- Rance / No , AZO54Z— (79 / 7 - © 2. - /( e jet-) PPsc ,Y)A ti o4,1 -- ('ffo/)-t 1/ ty Ft e74" 81k-24.9- E xc, F l 4-C Y., Scu 6J 17o C b, 'd, a c y- oss vv x o ' .5 — \/11427 0/01-3,2j- work d. 0C,cVpy/-7,1 'res id eine. .n` 4 __ / iL7 �X35t1 /vo �"4S EN Lc/VTS , . 1 2‘v.c,6 ‘1 j a y , v k d . ::-.1- - cr) / _ / UI 4. 3 w ' '-rl V% (14 . 9ri-1 %. t, o- at C w n 3ln'' ' 25 • �_ r e) - 1/ \A a c � ' � "� Z ' V) Z C, o 7 . 75 �` � 2 N t