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1983, 11-28 Permit App: 83B-2048 Roof AdditionWORK ❑ POOL Certifi. of Exempt. Required yes El No❑ Number or Variance Received Yes No❑ D SCRIBE WORK Shorelines/Flood Hazard 8• Plans Required ❑ r!SL�� 4 l od Yes El Not Applic. ❑ Received ❑ VALUATION SOURCE GAS ELECTRIC WATER SE WAG Ownership 9' bOFIC RIVATE ❑ SEWER ❑ Public ❑ Private FEES COLLECTED 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 —00 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 provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION OWNER OR AGENT DATE 1/_— �R'— �� Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE 1` j Plan Check Env. Health Planning SEPA Modular/ Fire MFG. Home Prevent. Engineer Other (Specify) Utilities �ty SEPA TOTAL $ !'ans PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, xam. THIS BECOMES A,PERMIT. uildingPERMIT IS NULL ANDVOID IFWORK HAS NOT COMMENCED11`8 _3 Q 8 0 * 2 0 Q aech. �'Tt�2 IN 180 DAYS DATE ISSUED PFAM IT Nn CL O V W J LL SPOKANE COUNTY - DEPART;4ENT OF BUILDING &^SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. STREET ADDRESS IQ' �-rT4 PARCEL NO. I,qT RMK 44—- c/ 2 �j / sl/BDI ISION NIC 0NIC LEGAL DESCRIPTION: OWNER 3. ' 0 �i P O� — � PHONE MAILING ADDRESS i ZI Actual Set Backs in Feet to: ' CONTRACTOR / t© North South East c'— c) West 4. LICENSE EXPIRES HONE Size of cel Z neClassifi tion i _9 s 175 Residential Commercial ❑ ADDRESS ZIP , ' Type Con I. I Doc pancy Sprinklered 1V1 ❑Yes ❑No ❑Req'd. DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area 5. Main FI 60 Upper Floors Garage/ tore a Greenhouse ADDRESS ZIP Cov Deck Uncv. Deck Fin. Basement Unf in. Basement No. the No. Floors No. Fin. Rooms No. Dwellings s. CHANGE OF USE FROM TO TY PE �• TY ❑ N ❑ ALT. AD' N. El RPL. ElMVE. BLD ❑ PLMB ❑ MECH ❑ M H ❑ OTHER WORK ❑ POOL Certifi. of Exempt. Required yes El No❑ Number or Variance Received Yes No❑ D SCRIBE WORK Shorelines/Flood Hazard 8• Plans Required ❑ r!SL�� 4 l od Yes El Not Applic. ❑ Received ❑ VALUATION SOURCE GAS ELECTRIC WATER SE WAG Ownership 9' bOFIC RIVATE ❑ SEWER ❑ Public ❑ Private FEES COLLECTED 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 —00 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 provisions of any other state or local law regulating construction or the performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATION OWNER OR AGENT DATE 1/_— �R'— �� Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE 1` j Plan Check Env. Health Planning SEPA Modular/ Fire MFG. Home Prevent. Engineer Other (Specify) Utilities �ty SEPA TOTAL $ !'ans PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, xam. THIS BECOMES A,PERMIT. uildingPERMIT IS NULL ANDVOID IFWORK HAS NOT COMMENCED11`8 _3 Q 8 0 * 2 0 Q aech. �'Tt�2 IN 180 DAYS DATE ISSUED PFAM IT Nn CL O V W J LL