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1983, 09-14 Permit: 83A-9052 Pool PLAN NUMBER APPLICATION/PERMIT PETIT riumBpr,� - SPOKANE COUNTY — DEPARTMEMT OF BUILDING &SAFETY NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. . - I.2-0;42 2 '' .42--0 7 5 --- -300 2 LgT BL CK S4-DIVI K�-r���-- " �N� LEGAL DESCRIPTION: 3. OW IE POCat.J PHONE P OWN ��2-1.— MAILING � F403. t7 Actual Set Backs in Feet to: MA INGADOR S IP - LS Z Z North 'South /2 East I West 8 CON RA ToR r �5 LICENSE EXPIRES gF�oNEs� � Size ce / Zone Classifical�ionM Residential U A DRESS AW 9 Type Cons. Occ['`app'_aan�cy rll���l Sprinklered ii.r... - 7�� pjJ� "� AA2 Oyes ❑No ❑Req'd. DESIGNER PHONE New Const.Valuation �� It Remodeled Valuation Total Bldg.Floor Area J. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 6. No.Baths No.Floors No.Fin.Rooms No.Dwellings 7 TYPE NEW ❑ ALT. ❑ AD'N. ID RPL. ElMVE. ❑ OTHER WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 1:11300L Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes No❑ DESCRIBI.W_,rPRK Shorelines/Flood Hazard Plans Required❑ 8. 5 t^.1 Nt i NJ 61 fGtZ.— Yes Not Applic.❑ Received El V UATION SOURCE GAS ELECTRIC PWATER SEWAGE Ownership 9• �4 c.? CO UTILLIITIES RIVA E� SEWER❑ Public CIPrivate 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 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 NSPECTIONS Plumbing SIGNATURE OF / 4 APPLICATION O" l V4 OWNER OR AGENT .1 , .. .- �' DATE / — Mech. SPECIAL APPROVALS SPE• AL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE Env.Health ie-,- 702 SEPA Planning Modular/ Fire MFG.Home } Prevent. ...2'..6_ 7 0 � O Engineer Other(Specify) — " ' _ V SIDE FORx. REQU TOTAL $ SEPA PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, Plans THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED (� 9 l9 (� Building IN 180 DAYS DATEYSSUED` — PERMITN9.�' 2 z * 5. 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