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1983, 07-18 Permit: 83A-6616 Addition r —, PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER_ SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY e)--5A - 4C ' NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS / �� PARCEL NO. .-154-41 _ tH 2. LOT sLI "1-1,-1111/41 CK SUBDIVISION I,614 ��0" �� P1–' LEGAL DESCRIPTION: • 6("C AI V" 53, OW � ,` ' " ' '` \f E PHONE I 12 ' 3. MA :RNG IDpRESSI 21[ 1(TO 7220 North Actual Set Backs in Feet to: South�7 I d'/ 4. CO`� 1� LICENSE EXPIRES PHONE Sizep�e l 14 5 EZon�.Cl If est ReComsidential cial❑ • ADDRESS ZIP Type V,ril /_ _I ." Sprinklered v� ❑Yes 0 N ❑Raga. 02 * 1 I DESIGNER PHONE New Co .V lu ro© Remodeled Valuation Total Bldg.Floor Area !, 00 ns 5. - * 1 (La00 ADDRESS ZIP Ma(n FI99o�r Upper Floors Garage/Storage Greenhouse (Ob 0 * C 7 „ c • CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement „ 6. _— 661,5 __ / No.Baths No.Floors No.Fin.Rooms No.Dwellings 7– 1 G– 0 3 TYPE ❑ NEW ❑ ALT. •AD N. ❑ RPL. ❑ MVE. 7. OF 0 OTHER WORK ,VBLD. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number o.a 7 9 or Variance Received Yes No C7 +8 DESSSCCRI E WORK y-� Shorelines/Flood Hazard Plans Required V,— {� `� � % ✓� E� Yes❑ NotAppl' .❑ Received • VALUATION SOURCEOOGAS ELECTRIC PUBLIC SEPTIC Q Ownership FEES COLLECTED fig• UTILITIES PRIVAT ❑ 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 14-4.► 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 , APPLICATION �r OWNER OR AGEN //,! ////, .' i..,::; ./, DATE / -YJ ' ee�� Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (S E REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env.Health '(r "'*t}! 7 SEPA Planning // Modular/ Fire MFG.Home >-. Prevent. d 0 Engineer Other(Specify) v LU J_ Utilities I • . TOTAL $ SEPA WHEN MACHINE VALIDATED IN THIS SPACE, Plans _j PERMIT IS NONTRANSFERABLE. Exam. 4: �j - -�Q THIS BECOMES A PERMIT. u C Building \, PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED 1,0Tech. 7.4. IN 180 DAYS DAT ta-,d 8 -8 3 PERMI6 L 6 * 1 4 4 0 0 drAL v ! t j,i V (d I tJ :` G • • --- i _.... _Xis — - _ ------''''''..N.,,,,\.\\_ _ __ i JC V'Sfy,/_i...)1,..•c16) f' V \ ac-r 1 d-0_..)r(1. • ..&i+EM .An 1 ° 'RSN -.► �Z -fix a -LI^, '1a WI it ....a.:,42 ti CI,•.iC,,3 ,s I`1 -► _. , I \ (-7) t..0 C) , 48 l 1i wJ r - - a i se1 ►.t ,r