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1983, 08-03 Permit: 83A-7362 Deck
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER ' SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY ,. �‘ - 73(a 2' CNORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/ (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES a STREET ADDRESS PARCEL NO. 1. E '57Q8 19-Ell 2-1-15. z1 ©SOS- LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. 5 3 c t4 D X Ace-e_ 'fioxG'C, O NER PHONE PHONE 3. a E L_ Ykk CASE.-/ 9 ZS-Z:1 S9 MAILING ADDRESS L� ZIP Actual Set Backs in Feet to: E- S E-\ 51t4 Aon _ North '---- LSouth —7 Least 7 5- 1 West S 8 CO TRAC R LICENSE EXPIRESL PHONE Size oParcel Zone Classification Residential c enn.ife_AI-Toe_ r,..'S-1 ,f3 , sss'Js(ol 1 co SO 1 Commercial 1=14. ADDRESSufl f , ZIP 1- 1�Z TYPeK• Occupancy._ Sprinklered _ L ❑Yes ❑ ❑Req'd. DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area 1 0 3 (v _ 3_ J. 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 7 TYPE ci-1Q�E 0 ALT. - D'N. PL. CIMVE. ❑ OTHER �— . PLMB. ❑ MECH. ❑ M.H. ID POOL Certifi.of Exempt. m WORK or VarianceJLD El Required Yes❑ NoNumber Received Yes❑ No❑ DESCRIBE WORK c, + e£feLH� \Stly Dec.- ._ Shorelines/Flood Hazard/ Plans Required�/ 8. ZS--1.' its,— OSOF Rol°Y to Yes❑ Not Applic. Received.p/ VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership "° . 9. LI PUBLIC❑ SEPTIC Public❑Private. FEES COLLECTED UTILITIES PRIVATE❑ SEWER 0 I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on f reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building ZZ 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 R SE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OFAPPLICATION �+ y OWNER OR AGENT . r�� DATE D o-3 Mech. SPECIAL APPROV S SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTIC Plan Check /// PRELIM. FINAL DATE ��` ..Env.Health ZZ3 a N a► A�cI -P 18� SEPA Planning Modular/ MFG.Home >- Fire 0- Prevent. Prevent. 0 ?. Engineer Other(Specify) W s J_ Utilities L(fASjj'�eeic- 0 _f'f to 1i y �1.� 51.co 2z- SEPA - - i t.t p - TOTAL $ / PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, -plansTHIS BECOMES A PERMIT. xam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED prig 1!-• " /� IN 180 DAYS not, x �77 B * o ( DATEUSVUTE 14 —8 l PERMITIN� ,6.2 z 2 2•O QdTAI E /6 70c iy74 All is 0 `S T s. 5LK 3 1 r e6 r1 re,. r I 5 1 r —;a.— —I io L. r / z4 • )-` l ad1 ,t j 'A � I f{ 1111P I I I i I r 1 , i , 1 , ; . -2,, 39. c), I k. I I i12' I