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1983, 03-01 Permit: 83A-1396 Residence
PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHIINGTO"9260 / (509) 456-3675 STREET ADDRESS 1.I big) JT BLOCK 2. &VINIER 3. AgA ING1 © U CON" 4. A—DDDDRRREES�►S—�� APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES PARCEL NO. 3-315 4-1 _ l 1 cl SU DIVISIONLEGAL DESCRIPTION: r joi I kic— PHQ-2 _ 9 YA PHONE LICENSE EXPIRES Actual Set Backs in Feet to: North 3 0 South East -� West HONE Size of Parcel I ZonelQlassification Residential i;>!5 Commercial C ZIP Type gonit.Sprinklered ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Valuation Remodeled Valuation Total Bldg. Floor Area —Const. ® J. ADDRESS ZIP Mtafin F.l�oor Upper l' Floors Garag Storage Gr nhouse CHANGE OF USE FROMTO Cover Deck Uncv. Deck Fin. Basement Unfin. Base 6. No. Baths No. Floors No. Fin. Rooms No. TYPE W ElALT. ❑ AWN. ❑ RPL. ElMVE. ` dings El 7. OF;/B' WORK LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No /Number or Variance Received Yes❑ Nola' DESCRI E WORK Shorelines/ Flood Hazard Plans Required e7- 8. Yes❑ Not Ap lic. ❑ Received VALUATION SOURCE OF OF G S LECTRIC WATER PUBLIC SEWA SEPTIC Ownership FEES COLLECTED 9 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 5 work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building thority to violate or cancel the provision of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE RAQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION -::P-, - OWNER OR AGENT;7/"%.DATE Mach. SPECIAL APPROVA6 SPECIAL CONDITIO : (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE � LAC LA (,0Nj-C Plan Check Env. Health SEPA Planning Modular/ MFG.Home Fi re Prevent. Engineer Other (Specify) Utilities Plans PERMIT IS NONTRANSFERABLE Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building ?/ _ IN 180 DAYS TOTAL $ WHEN MACHINE VALIDATED IN THIS BECOMES A PERMIT. PERMIT NUMBER 02* *38200 *38200 AzzF/ *G00 " 1 JS.0 -o G2-28-83 6479 DATE'I LI4 — 8 3 PERMIT'Nd. 7' U z * 0 O.O % AL 41 A