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1983, 06-02 Permit 83A-4663 Barn
APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1 . ; 4. -: -'1 ...DR 1 FT Lt..c , PARCEL NO. LOT 2. I BLOCK _SUBDIVISION ---rt4 OWNER 3. • MAILING ADDRESS PHONE f V`UUOa PHONE LEGAL DESCRIPTION: 4. AQDRESS �nIMG CONTRACTOR vy, LICENSE EXPIRES DESIGNER 5. ADDRESS CHANGE OF USE FROM ZIP � 4cc . -CMG PHONE ZIP PHONE ZIP TO 7. TYPE RTNEW 0 ALT. 0 AD'N. El RPL. 0 MVE. OF El OTHER WORK ©BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL Actual Set Backs in Feet to: North ZG 1 South East Size of Parcel i tac_rzc Type onst. r'J Occupancy NewConst. Valuation ` '4 Main Floor West ` (9 ` Zone Classification k Residential O Commercial ❑ Spr nklered OYes ONo ❑Req'd. Remode ed Valuation Upper Floors GaragelStorage CAC ) Cover Deck No. Baths CertifI. of Exempt. or Variance Total Bldg. Floor Area Greenhouse Uncv. Deck No. Floors 8. DESCRI BE WORK •.n.., VALUATION 9. ,SOOUR CE UTILITIES GAS ELECTRIC (.2c`'X. c, WATER/ SEWAGE/ PUBLIC rmi SEPTIC U PRIVATE ❑ SEWER ❑ IFin. Basement No. Fin. Rooms Required Yes❑ Noll Received Yes No❑ Shorelines/Flood Hazard Yes❑ Not Applic. O Ownership Public 0 Private lit 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 REVISE SIE F9R ROUIRED INSPECTIONS SIGNATURE OF APPLICATION/1/' / 2 OWNER OR AGENT / ' DATE SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning IQ Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. t\s f jl t PECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Unf in. Basement No. Dwellings Number Required 0 Received ❑ FEES COLLECTED Building Cf . C0 Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ PERMIT NUMBS 46 02* *61,00 *61,006 A *0.00 8 466.22 06-01-83 2 6.479, WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATE`ISSUED' 1 _ 8 3 PERMIT N9. 0. z *6100 O J tOtrA