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1983, 06-21 Permit: 83A-5668 Residence
PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY -A f;+ A 's(c.C.,2 C_____ NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD''O MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. 5, 116,0 C b '64 3., 1 4 4-- 1.324- L LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. 12� 1- r1)16'W "6/29• CO° - Pi.-/ts 1-. OWNERPHONE PHONE 3. .- 0\1TJ-e, r'Kp 9,Z _� 0 MAILING ADDRESS �/ rz�� �j Actual Set Backs in Feet to: N - 1 r)c' fIrc S F-4 L-0 0 North •4- / South 4'0 East ✓ C--1 `West CONTRACTOR LICENSE EXPIRES PHONE Size f'arcel Zone Classification Residential L p J X 1 Gam. 1�_„i.u„� - Commercial❑ 4. 1 "'� ` r J'� . ADDRESS ZIP TypeCpn t. Occupant Sprinklered `( p•7j r"t9 ❑Yes ❑No ❑Req'd. DESIGNER PHONE New gest.Valuation rl Remodeled Valuation Total Bldg.Floor Area `70 51? 5. ADDRESS ZIP Main Fl rUj e Garage/Storer gg Greenhouse 0069 CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fain.Basement Unf in.Bg ererQnt 6. 1..0 G2 TYPE NEW ElALT. ElAD'N. ❑ RPL. ❑ MVE. No.Baths No.Floors No.FRooms No. Ilings 7. OF ❑ OTHER <--� 7 WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL avarianExempt. Required Yes❑ No ID Number Received Yes No DErS�G RIBE WORK ,rj Shorelines/Flood Hazard Plans Required.1 8. ) `� I j�� j Yes ID Not Applic.❑ Received Ali VALUATION SOURCEOAS ELECTRIC Ownership FEES COLLECTED 9. UTILITIES PRIVATE❑ SEWER❑ Public 0 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 CI Building 3 3 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 REV RSE SIDE FOR,RE `BED INSPECTIONS Plumbing SIGNATURE OF jA APPLICATION/7) OWNER OR AGENT �/ ��� DATE !<i ` f Mech. SPECIAL APPROVALS /SPECfAL COND NS: (SEE REVERSE SIDE FOR NONCE) PRELIM. Fl AL DATE Plan Check i Env.Health 01©14//1 SEPA Planning Modular/ MFG.Home Fire 12- Prevent. Prevent. •,C1 / / O Engineer ��M�' ,ILvltdy ao ZAPS OK - Sb CAL) 1t,�Se)E- f/o e�u) It(1N -p�aaat � Other(Specify) J Utilities 3.9 0 LL TOTAL $ - SEPA WHEN MACHINE VALIDATED IN THIS SPACE, Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. 4 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Tech. N.� � IN 180 DAYS L p d * 3 Q �a /t / DATE ISSUED 1 1 —B 5 PERMIT Na.9 o 2 TOTAL U U 2 1 8y »a WV • d -- if3 1 ���°i c ( . 1 / n 1 ,' $15naN g w A Z�1 '../17/7--C /z lvc v 4- - 1 d6i w '''i 1 s � 4b 1 W W�, II" ) oat/ eloo ,-../.41- z 4,0/a ' .t 4°7 _..___ ,___—_ ;o ---A zt;0 r-____ D• ir- 7x/15V5/Ye(OV4 mg 45(4