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1983, 07-07 Permit: 83A-6260 ResidencePLAN NUMBER APPL ICAT 104; /PERMIT SPOKANE COUNTY — DEPARTMENT,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. x._11808 Zd.T 7_8%q, 64-09 L/O-T BLOCK SUBBD1IIVISION` LEGAL DESCRIPTION: 2.OWNER PHONE PHONE 3. if �1 � 5cu '� c� i �- 0 6CZS Main Floor Upper +5S — '7 Garage/Storage Greenhouse MAILING ADDRESS ZIP ua t ks in Feet to: CHANGE OF USE FROM TO _-6G�,0(�P_A1QOQL64A) Uncv. Deck QL(X04 North_!�,5 South East lC7 West 8} CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential itf No. Baths No. LS&MG- I 80 k I R Z„ I Commercial ❑ 4 7. OF El ADDRESS Certifi. of Exempt. ZIP Type Const. Occupancy Number Sprinklered or Variance Received Yes❑ No❑ xN -I ❑Yes ❑No ❑Req'd. itUG.IE FAM Q tZfi`s%ZX--^'L-'-- DESIGNER PHONE New Const. Valuation Remodeled Valuation --j GAS Total Bldg. Floor Area 5. SEWAGE SEPTIC Ownership (ov 44 1 UTILITIES ADDRESS ZIP Main Floor Upper Floors i Garage/Storage Greenhouse 480 CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basem( 6. — --- —. 4 -::Lo TYPE 13 ALT. ❑ AD' N. ❑ RPL. No. Baths No. Floors No. Fin. Rooms No. Dwellings Pd EW ElMVE. Z„ St 7. OF El WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi. of Exempt. Required Yes❑ No Number or Variance Received Yes❑ No❑ DESCRIBE WORK 8' Shorelines/ Flood Hazard Plans Required It/ itUG.IE FAM Q tZfi`s%ZX--^'L-'-- Yes❑ Not Applic.❑ Received fd VALUATION SOURCE OF GAS ELECTRIC I WATE PUBLIC SEWAGE SEPTIC Ownership FEES COLLECTED 9• UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private �el 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.Z 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 INSPECTIONS Plumbing SIGNATURE OF APPLICATION gzn2L I gAeA"+� Mech. OWNER OR AGENTX DATE SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env. Health �jL1� Yom'/ SEPA Planning Modular/ MFG.Home Utilities Plans �� PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS Other (Specify) TOTAL $'Z'� WHEN MACHINE VALIDATED IN THI THIS BECOMES A PERMIT. ►- PERMIT NUMBER �j _0�0 DATEYs6uEW 7— 8 3 PERM176NQ. 6. 0 z * 4 0 2, 0.0 VAL O C.) W -.1 LL