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1983, 08-15 Permit: 83A-9092 ResidencePLAN NUMBER APPL IC AT ION /PERMIT PERMIT NUMBER �. SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 DESCRIBEWORKK ��%J,� Shorelines/ Flood Hazard Plans Required 8. SlAl6Le r—w 1K�ovIeAe& D L'e 6XV04k�_ Yes El Not Applic. ❑ Received ❑ VALUATION I SOOUFC GAS ELE RIC WATER SEWAGE Ownership FEES COLLECTED 9• UTILITIES PUBL r,(IJW A1,4 AVAt PRIVATC SEPTIC❑ SEWE 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 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 REVERSES R REQUIRED INSPECTIONS SIGNATURE OF APPLICATION1 OWNER OR AGENT DATE _ SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Prevent. �Engineei Utilities Plans PERMIT IS NONTRANSFERABLE Exam 3 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building I f Ak_- Q/—. IN 180 DAYS Building q?__7 Plumbing Mech. Plan Check SEPA Modular/ MFG.Home Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. (� H DATEIS� PERMPF7WoTZI z F L APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES STREETADDRESS PARCEL NO. LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. -_ At t dot 0^1 � As r � WA-1� ©Y" 2 % Loc � '7 nc 00f 4: OWNER PHONE PHONE s i,vCr - �DpA 3. MAI,4NG ADDRESS)��� Q, AK/4I04- ZIP PRI -0 Actualt Backs in Feet to: North South East / West () / CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ❑ 33 Commercial ❑ 4. ADDRESS ZIP TypeCpnst. Occupancy Sprinklered N I ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area co Z V's 0 5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse 03 —0 CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement 6. 1 - 0— 1 — V_ -r — — 6— No. No. Baths No. Floors No. Fin. ooms - No. Dwellings TYPE ZNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.Z ,( 7. OF ❑ OTHER I�BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL empt. Required Yes❑ No❑ Number WORK oCrvariafnE Received Yes❑ No❑ DESCRIBEWORKK ��%J,� Shorelines/ Flood Hazard Plans Required 8. SlAl6Le r—w 1K�ovIeAe& D L'e 6XV04k�_ Yes El Not Applic. ❑ Received ❑ VALUATION I SOOUFC GAS ELE RIC WATER SEWAGE Ownership FEES COLLECTED 9• UTILITIES PUBL r,(IJW A1,4 AVAt PRIVATC SEPTIC❑ SEWE 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 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 REVERSES R REQUIRED INSPECTIONS SIGNATURE OF APPLICATION1 OWNER OR AGENT DATE _ SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Env. Health Planning Prevent. �Engineei Utilities Plans PERMIT IS NONTRANSFERABLE Exam 3 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building I f Ak_- Q/—. IN 180 DAYS Building q?__7 Plumbing Mech. Plan Check SEPA Modular/ MFG.Home Other (Specify) TOTAL $ WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. (� H DATEIS� PERMPF7WoTZI z F L Pis 1: ( I/ t 4 i