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1983, 03-29 Permit: 83A-2328 Carport PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER • (12 SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY " - �3 NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES ST 1EETADDRESS •PARCEL NO. 1. 67. („4404- [0-5v4-5634 - i r 2. LOT BLOCK SUBD SIONdts,c LEGAL DESCRIPTION: , i , n ;, �! OWNER • '" y,.," , P,�oN PHONE M3. AI NGADDR SS ,. J ' &, �//�-� ✓�7' 1e+,� / /� i���j Actual Set Backs In Feet to: O 1 ICf-I►� J 9(!i i � CNorth � 5 ..(� South East �West I 4. CONC,INTit F� �/ 9/ I LICENSE EXPIRES PHONE.. i 2 Size oel one lassificat�on Vvr v ( 1 X` 1-2,-7 �J�! >Inmercael�❑ AD /// I0 .. I riff HL© TYPeOiVl Occlta I SPrinkiered • ❑Yes ❑No ❑Req'd.DESIGNER ONE New Const.Valuation Remodeled Valuation I Total Bldg.Floor Area J. 2io ADDRESS ZIP Main Floor Upper Floors Gar a/Storage Greenhouse CHANGE OF USE FROM � I I � � I 6. I TO Cover Deck IUncv.Deck I Fin.Basement I Unfin.Basement AD'N. ❑ RPL. ❑ MVE. No.Baths i No.Floors I No.Fin.Rooms No.Dwellings TYPE ❑ NEW ❑ ALT. ,0 7• OF ❑ OTHER WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.of Exempt. I Required Yes❑ No❑ Number or Variance Received Yes No❑ / DESCR B WORK .e 8. ���y� � Aso l�/. Shorelines/Flood Hazard Plans Required r� ��/,✓ 1 Yes Not Applic.❑ Receivethrr VALUATION SOURCEOGAS ELECTRIC WATER SEWAGE Ownership 9. UTILITIES PRIVATE O SEWER Public❑Private FEES COLLECTED 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 4:7 work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building 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 � es..479-,--,-e12.49 APPLICATION OWNER OR AGENT ( 1/4.—, DATE 4`--- - ? -e3 Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE . 1. LAG ;�'' 1" > 1...5.160/} 6� 22! IA l Plan Check Env.Health N f C1 / Planning SEPA Modular/ Fire MFG.Home Prevent. n a Engineer p Other(Specify) U W Utilities .1 • SEPA TOTAL $ +7 PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans Exam. THIS BECOMES A PERMIT. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Tech ung W) Xi..pI N 180 DAYS oo33 _° 7DATE ISSueo2 9 —8 3 PERMITNO.2° oz * / 0 0 TOTAL 1J.-1 72714 0\4 ;, )-01 ' ' N 7 . - I • 1-51)L9 J21