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1984, 04-30 Permit: 84A-3879 DuplexPLAN NUMBER APPLICATION/PERMIT SK,OKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 CHANGE OF USE FROM 6. TO APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES Uncv. Deck Fin. Basement STREETADDRESS PARCEL NO. z7 jLOT "442CY 2.17h 7 SUBDIVIS �OrN �jr� 1:`o ro� � 99 "f0WrQ5''rr,— LEGAL DESCRIPTION' No. Baths No. WNER �� 3. OAA Pt PHONE PHONE '7 /yQ C.✓CA 7• OF ❑ OTHER WORK V BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL MAILING ADDRESS 7- � ZIP !� (�„ Actual Set Backs in Feet to: 1 I f Number or Variance Received Yes No❑ North .541 South �� East � West O 4. CONTRACTOR _ Yes Not Applic. ❑ LICENSE EXPIRES PHONE Size of Parcel Q I O� f ZoneClassificetion Comp meercatt 0 WATER ADDRESS Ownership ZIP Ty st nc Sprinklered PUBLIC ❑ I PRIVATE ❑ SEPTIC. SEWER ❑ Public ❑ Private ❑ FEES COLLECTED 1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on ❑Yes ❑No ❑Req'd. work will be complied with whether specified herein or not. The granting of a permit does not resume to 9 9 P P give au- DESIGNER thority to violate or cancel the provi ions of any other state or local law regulating construction or the performance PHONE NewlConst. Valuation CD Remodeled Valuation Total Bldg. Floor Area 5. Mach. 10 ADDRESS ZIP Upper Floors Garag St Me glee Greenhouse CHANGE OF USE FROM 6. TO Cover Deck Uncv. Deck Fin. Basement mei z7 3 �. TYPE. MVE. .NEW El ALT ❑ ADN. ❑RPL. No. Baths No. Floors No. Fin. Rooms No. Dwellings 7• OF ❑ OTHER WORK V BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number or Variance Received Yes No❑ 8 DESCRIBE WORK Shorelines/ Flood Hazard Plans Required ❑ Yes Not Applic. ❑ Received ❑ VALUATION SOURCE of GAS ELECTRIC WATER SEWAGE Ownership g UTILITfES PUBLIC ❑ I PRIVATE ❑ SEPTIC. SEWER ❑ Public ❑ Private ❑ FEES COLLECTED 1 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 p�- J 5 work will be complied with whether specified herein or not. The granting of a permit does not resume to 9 9 P P give au- Building thority to violate or cancel the provi ions of any other state or local law regulating construction or the performance of construction. SEE REV E SID FO EO IR D INSPECTIONS Plumbing SIGNATURE OF CATION OWNER OR GENT DATE Mach. SPECIAL APPROVALS PRELIM. FINAL D, Env. Health , ^ V Planning Utilities ✓ Plans Exam. Building t / Tech. SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 0 WPR T NUMBER 46 �l WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATIASSUED 0 -1 PERMI48. r. Q z* 5 1 " '0 . JTOPFAL CL O V W J_ LL )1311 - 21 �p - T� 102/ HOOK U P � I LL I ! 1 q 1, ON m����� _ RM -, �'�- - �•.�+�����►r%r[� SEM rr� BOX 14835. T..T.WA s � s •i :•r •r� 'r i J r IR1 -WEET4 T4 BOX 14835, OPPORTUNITY, WA 89214 NOW W, 6iM Fil.