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1983, 03-30 Permit: 83A-2402 Residence PLAN NUMBER - - APPLICATION/PERMIT PERMITNUMBER "Come, SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY I g'-3 -Z4°2-- V -• - • NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES STREET ADDRESS /PARCEL NO. 1. C. 112, Iq 2.3F-5.1—' z 910 f 2. LOT^ BL CK SUBDIVISION LEGAL DESCRIPTION: 6�� SrT� I'�1� ) 3. o�^"EMk\ A K\JAI -it.l iv( • /1—�7 PHONE I MAl LING ADDRESS DDD ES/S� Actual Set Backs in Feet to: . 13 'tO 711 6 North ISout�'S [East I:5 I West G . 3 'j 0 0 CONT AC OR LICENSE EXPIRES PH� Sizeo�iyP,arcel � �! one Classificatio Residential n �/�k (z,it 6. Commercial❑ It 7 01 0,.. 4. ADDRESS ZIP TypeGor�st. Occupancy Sprinklered C.-‘c -, S �J N p' '? ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area /!. 5. 2 z- r.S —3 _ r2 3 , ADDRESS ZIP Main Elo Upper Floors Garage o Greenhouse I CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfi�ement 4 7 �. 6. — j i No. tpp No.Floors No.Fin/.Ro_oms No. llings TYPE • EW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. �I —� �F/' I 7. OF WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER Certifi.of Exempt. Required Yes No❑ Number or Variance Received Yes❑ Non Lk.' 3-7-i D F, F WORK I ,�/�� / Shorelines/Flood Hazard Plans Required 8' ����(����V- !�'�j t%�FCr`V" �tc� E� Yes❑ Not Applic.❑ Received 1 VALUATION SOURCEOG S 1 �ELE_CTRIC WA ER/' SEPWTIC�+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 3??) work will be complied with whether specified herein or not. The grantingof apermit does notpresume to Building P P give au- thority to violate or cancel the provisions of any other state or local law regulating construction or the performance of construction.SEE REVERR SIDE FOR REOUIR ECTIONS Plumbing SIGNATURE OF f` • APPLICATION ...._22 --_ S OWNER OR AGENT _ — —� DATE Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE 'r Plan Check Env.Health f'pL1—U � ��` I 0 L? 177 -3iv9 8/�J©� 7 SEPA Planning �rte� /rffc Ca —`/J_ — y "`W'Y"� eC ,.. .2_ ,& Modular/ MFG.Home meFire Prevent. 4. 0 Engineer Other(Specify) v W J Utilities � LL - TOTAL $ SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans '/ '946:3 THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building 6�pt r IN180DAYS �3 �30 -83 240,22 * 378.00 ° ,? DATEiSSUED PERMIT NO. TOTAL I 1 I I -1 I , I � � I I I I I I I I � ( I LJILLI , tri r` N I L -1 1061 I SO / 1 I N - - - - - - - - - - - - - - -I I I I - �- I In - 0 -�a R T PLAk\ •1 - 20 E ao --t-{ - OF THE , 2/5T� OF Ti-t>. S, HA 0 `r i-1 E- SN/Q. t/y- O F 71-+E SAA) • l/4. a F T-t fJ,to, /4- OF. s ter. 23, -rowIJSH1'P 25 N , PAIJGE 44 E W•M,1 S 1Tv T E I t3 THE. CQ .) T`I O 1=-7- S-PQ =S-PO KITNC-, S`�AT� oF 1nl&S H t 1JG,T ON