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1984, 03-15 Permit: 84A-2242 ResidencePLAN NUMBER APPLIC---A I ION/ 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 STREETADDRESS PARCEL NO. LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION: 2. � i IML,© a- Z, 9 ,?,. OWNER, P N PHONE 3. 'rC`_�AV! '� L ActSet Backs 'n F t to' MAILIN ADDRESS / � �V .2L- T us J L� North South East Z West CONT CTO, 6' LICENSE EXPIRES PHONE Size of Parol 130 Zone Classification �� -� Residential Wr Commercial;__ G 7 No. Batas No. Floors 4. ADDRESS ZIP Type Copst1 i tlIjI upan Sprinklered ❑Yes 0 N ❑Req'd. DESIGNER PHONE New Const. Val Remodeled Valuation Total Bldg. Floor Area 5. WORK Received Yes❑ No❑ ADDRESS ZIP r Main'Floor Upper Floors Garage I Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Unc � Fin. Basement Unfin. Basement s G No. Batas No. Floors No. Fin. Rooms No. Dwellings TYPE �EW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER BLD. ❑PLM B. ❑ MECH. ❑ M.H. El POOL arvarianExempt. Required Yes[:] No❑ Number WORK Received Yes❑ No❑ DESCRIBEWORK Shorelines/ Flood Hazard Plans Required 8. C� U � Yes❑ Not Applic. ❑ Received VALUATION SOURCE AS EL CTRIC pUBLICR SEPT CGO Ownership FEES COLLECTED 9• UTILITIES PRIVATE ❑ SEWER Public ❑Private p11 I hereby certify that I have read and examined this application and have read then "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 RE E SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNAT"RE OF APPLICATION �i/� `7' OWNERbR AGEN DATE j Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Plan Chgck PRELIM. FINAL DATE c A- I . LAC, � �� TO -If, Z � 0 r2 Z_Env. Health ' I II N SEPA Planning Modular/ MFG. Home Other (Specify) Utilities TOTAL $� SEPA ;*i PERMIT IS NONTRANSFERABLE WHEN MACHINE VARM T. Exam. . THIS BECOMES A PERMIT. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building IN 180 DAYS �; "j c /� Tech. DATES ja 1 5 — u 4 PERMIT NUMBER elA - 224 ill, PERMIT341i. a 2 z * 3 3 0, 0 0 JOOAL C�tsc ss- .v��n/`� P / AP�0, ..� Y hd !(Zea?ltd 4U«Gl f;��1�,. Zee• Yew. e� r/ , s / %�t� ifli IMPORTANT MESSAGE FOR S+ DATE P.M. WHILE YOU Wjl"'llv� Quill M GE144- M ICIM L OF PHONE NO. 9ZI - 00L/9 TELEPHONED E CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH JLR,ETURNED YOUR CALL MESSAGE i�I ! �Z3 E /QD �^' Fprm I N C r sF l_ e c A.. r r -- r7_1 -LT-Dn) Ca�•z �-_ SIGNED ASSOCIATE 7•A2334 MiMT i O M Y.111.