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1983, 08-02 Permit 83A-7246 MH2. L HrrL1c.;A I ION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRES, HARD TO MAKE 3 COPIES STREET ADDRESS E - 119� M1%� I 9 LOT BLOCK SU.011 IO 5 pk t5i 4444 OVVN R 3. c_ �r' V614 �5j MAILING ADDRESS • CONTT 4. ADDRESS DESIGNER J. ADDRESS CHANGE OF USE FROM 5 LICENSE EXPIRES PHONE PHONE ZIP PHONE ZIP TO PARCEL NO. 02 544 — 042_ LEGAL DESCRIPTION: Actual Set Backs in Feet to: 11set•t 51 <NJ ( 9 North South East Size of Parcel Type Occupancy Z New Const. Valuation West Zone Classification Residential Commercial ❑ Sprinklered ❑Yes ONo ❑ Reg 'd. Remode ed Valuation Main Floor Upper Floors Garage/Storage Total Bldg. Floor Area Greenhouse Cover Deck Uncv. Deck Fin. Basement Unf In. Basement TYPE .eNEW ❑ ALT. D AD'N. ❑ 5Pt. ❑ MVE. 7. OF ❑ BLD. ❑ PLMB. D MECH. .PJ M.H. ❑ POOL ❑OTHER WORK DESCITBE WORK 8. VALUATION SODURCEAS 9. UTIF LITIES ELECTRIC WATE PUB ICRQ' PRIVATE ❑ SEWAG SEPTIC SEWER ❑ No. Baths Certifi. of Exempt. or Variance No. Floors Shorelines/Flood Hazard Yes Not Applic. ❑ Ownership Public ❑ Private ❑ No. Fin. Rooms No. Dwellings Required Yes No❑ Number Received Yes ❑ Nol ; 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 SIGNATURE OF OWNER OR AGENT SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent_ Engineer Utilities SEPA Plans Exam. Building Tech. APPLICATION DATE 7-2 ' - r3 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 Cl FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home 50 Other (Specify) TOTAL $ 2-(-) PERMIT NUMBER f�' -7Z4 07* *50.00 *50.006 A *0.00 0 724,5B 08-02-83 2 6479. d IL) W -J L WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. S in DATEn'ISSUED' 2 — 8 3 PERMIT NQ.' it * Q O O TOT A- L