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1984, 03-01 Permit 84A-1774 GaragePLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 PERMIT NUMBER e4A-1-774 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. STREET ADDRESS 5o4 ACAt 1 LOT 2. e- 4. BLOCK SUBDIVISION APPL e u' Cam'-i iJf MAILIN ADDRESS glOttT4t4CTO PHONE LICENSE EXPIRES PHONE 9s0 - 445 ' ZIP }C1 0.t( PHONE PARCEL NO. Iq Gs? 19°3 LEGAL DESCRIPTION: Actual Set Backs in Feet to: North 'South East lWest Size of Parcel 1 Zone Classification Residential$, Commercial ❑ ADDRESS 6j2,..A00 ZIP Type .� Co at. v Occupancy I Sprinklered ❑Yes ❑No ❑Req'd. 5. DESIGNER ADDRESS PHONE ZIP Nevy Const. Valuation IC;f °.3 men Floor Remodeled Valuation Upper Floors Garayf4/St�o.r,age Total Bldg. Floor Area Greenhouse 6. CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement TYPE XL,NEW 7. OF WORK , BLD. ❑ ALT. ❑ AD' N. ❑ RPL. 0 PLMB. 0 MECH. 0 M.H. 0 MVE. ❑ POOL ❑ OTHER NO. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required Received Yes❑ Yes ❑ No❑ No ❑ Number Shorelines/Flood Hazard Yes❑ Not Applic. ❑ DESCRIBE WORK f 8. $2.2,v C OAS CSC PeD VALUATION 9, 1#b6 oa 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 REVERSE SIDE FOR REQUIRED INSPECTIONS SOURCE F UTILITIES GAS ELECTRIC WATER. PUBLICIK PRIVATE SEWAG SEPTIC B. SEWER 0 Ownership Public 0 Private X. SIGNATURE OF i �`.-' •r,., APPLICATION OWNER OR AGENT 4 '"*-•''� ° ` " � DATE Pi SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. ptekil SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plans Required 0 Received ❑ FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 40 02*• *40.00 *40006 A *0.00 0 1 77.3-9 03-01-84 6.479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE 15SdED O 1 8 4 PERMIT 1107 7.4 z *40.00 TOTAL 70,DG S43,66-5 00, Oi- 2ta ,N\ FARca_ iciss - :os 0 Lay- a al-0,51{-, 4 A2La \./AJ OtN) r 0 IN,