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1983, 03-23 Permit: 83A-2157 PoolPLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS SEPA PERMIT NUMBER r r. Modular/ MFG. Home >, iZ O Other (Specify) W J TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES APERMIT. DATE(�ED2 3 -8 " J PERMIAJ. 5. 7 z * 2 5.0 0 �olrAL U. No. Baths APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES No. Fin. Rooms No. Dwellings STREET ADDRESS PARCEL NO. 1. LE p 12 --`t T.a 2 q -'—J ` — .. Certifi. of Exempt. LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION: Received Yes❑ No❑ 2.:5--.1- Z'j tcv�o vKo Plans Required ❑ IL� �i l t 11 r'1'1. ru G,i�7pG. mit 7 Yes ❑ Not Applic. ❑ Received ❑ OWNER 7F= PHONE I WATERSEWAGLEf� 3. 3�w � � .� �ke� Y ` o UTILLIITIES PRIVATE ❑ MAILING ADDRESS Public ❑ Private ZIP Actual Set Backs in Feet to: 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 F-- 1 \ " ` ' � � . North South 1_';i East West 1 ' of construction. SEE RE IDE FOR REQUIRED INSPECTIONS CS;)NTRACTOR LICENSE EXPIRES PHONE Size of ParcelZoneClassification OWNER OR AGENT DATE'C Residential 4. ^� t • �tkj N 1/ PRELIM. FINAL DATE 5r -L{ 15 -74,� X 13t> O a .CJ Commercial ❑ ADDRESS ZIP Ty l!�QDnst. Occupancy Sprinklered P.. U. 474..14 A% ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area -7 5. ADDRESS ZIP Main FloorUpper Floors Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS SEPA PERMIT NUMBER r r. Modular/ MFG. Home >, iZ O Other (Specify) W J TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES APERMIT. DATE(�ED2 3 -8 " J PERMIAJ. 5. 7 z * 2 5.0 0 �olrAL U. No. Baths No. Floors No. Fin. Rooms No. Dwellings TYPE �pe—W El ALT. El AD' N. ❑RPL.OF ❑/MVE. %. ❑OTHER Certifi. of Exempt. Required Yes❑ Nov,Number WORK El BLD. ElPLMB. ❑ MECH. ElM.H. (SPOOL or Variance Received Yes❑ No❑ DESCRIBEWORK 8 Shorelines/ Flood Hazard Plans Required ❑ IL� �i l t 11 r'1'1. ru G,i�7pG. mit 7 Yes ❑ Not Applic. ❑ Received ❑ VALUATION I 9 SOURCE GAS ELECTRIC I WATERSEWAGLEf� Ownership FEES COLLECTED ` o UTILLIITIES PRIVATE ❑ 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 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 RE IDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATIO �� OWNER OR AGENT DATE'C Mach. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS SEPA PERMIT NUMBER r r. Modular/ MFG. Home >, iZ O Other (Specify) W J TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES APERMIT. DATE(�ED2 3 -8 " J PERMIAJ. 5. 7 z * 2 5.0 0 �olrAL U.