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1984, 04-06 Permit: 84A-3055 Garage PLAN NUMBER .011 . APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY -__DEP,ARTMENT OF BUILDING & SAFETY . s1?t4 - 305r NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. . I100& 15114 Z ( 9 - (ad l LOT BLOCK SUBDIVISIONS APP�0 LEGAL DESCRIPTION: 2. I Jv 3. OWNS_ rR � � , �7'0K � PHONE 'iZ -82i7 MAILING ADORES ZIP / Actual Set Backs in Feet to: i.t. �, ►y t 9 (/Cit® _North ...(South �� (East S I West W T. CONTRACTOR LICENSE EXPIRES PHONE Sizeofgargelt ,,. tool Zone Classification Residential 4. _ 19—rr Commeroiar❑ ADDRESS ZIP TypQCpn-s; Occu ncy3 Sprinklered v N ❑Yes ❑No ❑Req'd. DESIGNER PHONE EewConst�Vajug_tio�tl Remodeled Valuation Total Bldg.Floor Area 33 �(GQ/��4d1`o 5. ADDRESS ZIP Main Floor Upper Floors Garagel$t(pr,age a i Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 6. No.Baths No.Floors No.Fin.Rooms No.Dwellings TYPE ANEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7 OF gBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL 0 OTHER Certifi.of Exempt. WORK or Variance Required Yes❑ No❑ Number Received Yes No❑ 8. DESCRIBE WORK P •-•17� C la t! O t" > �, es❑ShoreIinesNo�paz rd❑ Plans Required 0 Received El VALUATION SOURCE GAS ELECTRIC WATER `i`-( SEWAGEF�, Ownership FEES COLLECTED 9 OF PUBLIC SEPTIC Public❑Private 0 OF PRIVAT ❑ SEWER l:1 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 `OS. Building 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 SPECTIONS Plumbing SIGNATURE OF -/,4, ,p APPLICATION L� OWNER OR AGENT ` � ` DATE / Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DAT Plan Check Env.Health P; K. 4 Gly 4 SEPA Planning Modular MFG.Home Fire a.. Prevent. O Other(Specify) C.) Engineer �� � /J, I iw��/QtW /'1 it Iry i " ' J Utilities 4 ©,� LL _ TOTAL $ SEPA • WHEN MACHINE VALIDATED IN THIS SPACE, Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Tech. 5i/ #'6, DATEt5ED( 6 -8 I PERMITO.5. 5 zd * 5 4 U 0 oOftj. AL i