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1983, 03-21 Permit: 83A-2060 Residence
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER f�-3 o' A -2C>C.V SPOKANE COUNTY — BUILDING :ODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 1. E 0,010 133;Z0 LEGAL DESCRIPTION — SEE ATTACHED - C L T BLOCK SUBD SON 2.4MJ PARCEL NUMBER/S a;S5+4-a002 ?rr4 ap 2. 101C,O OWNER 5 3 t n CS IJC CHONE 49-741 3. DRESS H Gt5 ZIP /qw•7 Actual Set Backin Feet sSouth © 0k North 130 East Z V West < L 1/ 1 CONTRACTOR PHONE Size of Parcel Zone Classification 40 X tZ —� 4.s4mc ADDRESS ZIP Type Const. Occupancy Sprinklered jr�► I R3 ��i ❑Yes ❑No ❑ Req'd. DES LV_ R LJ=,w luat�ionJ Buildin Area Ft. 5. �ONEV 0-ialinoSq. _ AD ESS I S W ZI 2�Z Main Floor Upper Floors Garage Area Storage . 414 r 4 �� e -- CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. 1 — �.. s TYPE NEW ElALT. ElAD'N. 1:1RPL. ElMVE. No. Baths L I No. Stories Il No. Eooms 45 No. of Dwellings 7, OF ❑OTHER CERTIFICATE Req'd. I Rec'd. Not Ryq'd. WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL of EXEMPTION DESCRI13E WO K 8. NEW s,,�� oq ohm � �w hrncC�� Enum. Dist. Location (Area) FEES COLLECTED VALUATION SOURCE GAS EL CTRIC WATER SEWER Ownership I 9. UTILOITIESF,�y Public El Privatengle $ 1 hereby certify that I have read and examined this application and have read the "NOTICE" provision on reverse side, and know the same to be true and correct. All provisions of laws and ordinances govilding' _ type of work will be complied with whether specified herein or not. The granting of a permit does noto give authority to violate or cancel the provisions of any other state or local law regulating constructperformance a of construction. SE RE ERSE SIDE FOR REQUIRED INSPECTIO umbing DATE OF APPLICATION SIGNATURE OF APPLICANT SPECIAL APPROVALS S ECIAL CONDITIONS: NAME DATE Plan Check Env. Health N SEPA n Plartning � Fire Marshall Mobile Home J.�i i Co. Engin er: ? t G� Other (Specify) J o Utilities TOTAL $' Plalls Examiner WHEN MACHINE VALIDATED IN THIS SPACE, S PA Checklist THIS BECOMES A PERMIT. 0)..` '8-3 2 0'6 015 *17 4 0;0 a -j _Building Technician PERMIT IS NONTRANSFERABLE i2.l - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL Ash howt2I nc.. '12- 4 -q 741 LO+ 6 Bloch 3 Midi love 2ud �4dd �"a.► 1983 &YtNe- Show -mouse A-aAo*jT LDT ` R©, 1 4W&CEPr Lar. iWSACF-sJr OT 1 L ' - -� - -- - \_ L fb \ Z