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1983, 07-06 Permit 83A-6224 GarageHrrLic:A I IUtI/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 ADDR =SS 1. LOT 2 OWNER 3 Ig06'f P- F11- N , BLOCK SIr%IV IO� t seal I vA7YZ1 1L6�G". MAILING!�DPRESS Ip A 7 I� 9D�v PARCEL NO. PHONE cowl-plc-4o 4. jew, ADDRESS DESIGNER 5. • ADDRESS CHANGE OF USE FROM H 3431 LICENSE EXPIRES PHONE ZIP PHONE ZIP TO TYPE A NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE. 7. OF 0 OTHER WORK 12,// LD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL DESCRI E RK 8. r7 VALUATION 9. LEGAL DESCRIPTION: Actual Set Backs in Feet to: North Size of Parcel SOOx Type South East West ZC`assiflkati - ncy Sprinklered ❑Yes ❑No ❑Req'd. Residential Commercial ❑ New Coist. Valuation Remode ed Valuation moo Main Floor Upper Floors Garage/Storage Total Bldg. Floor Area Greenhouse Cover Deck No. Baths Uncv. Deck No. Floors Fin. Basement No. Fin. Rooms Unfin. Basement No. Dwellings Certifi. of Exempt. or Variance Required Yes❑ No❑ Received Yes❑ No❑ Number SOURCE F UTILITIES GA ELECTRIC WATER PUBLIC PRIVATE ❑ SEWAG SEPTIC SEWER [Ti Shorelines/Flood Hazard Yes NotApplic. ❑ Ownership Public ❑ Private-ar 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 REVE SIDE FOR REQUIRED INSPECTIONS SIGNATURE OF OWNER OR AGE T SPECIAL APPROVALS PRELIM. FINAL DATE APPLICATION DATE 7� ' " Env. Health Planning 1/8 Fire Prevent. Engineer Utilities SEPA Plans Exam. 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 ./ Received 34 FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 7 61 PERMIT NUMBER 022` 02* *61,00 62232 07-25-83 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMESA PERMIT. %►+I• DATE ISSUED` PERMIT 6g 3 PERMIT RO_ z * 6 0 t01TAL