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1983, 04-13 Permit 83A-2915 Relocate Storage BldgPLAN NUMBER ('J 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. - l ()71.4 a AOv.iA-4 LOT 2. BLOCK SUBDIVISION OWNER A.E. LA Ca.x MAILING ADDRESS E . I o 4- 7612-uA9 •a-1 CONTRACTOR 4. SArrvV ADDRESS AV 4C DESIGNER PHONE LICENSE EXPIRES ADDRESS CHANGE OF USE FROM TYPE ❑ NEW 7. OF a WORK BLD. PHONE 7i ZIP PHONE ZIP PHONE ZIP TO ❑ ALT. ❑ AD'N. D RPL. ®MVE. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL El OTHER PARCEL NO. 14054:2>•-61eSG LEGAL DESCRIPTION: $1_1, w-)._ vs' .ZP.G ©F E , 3 Ac:.. 1' 7 ISX c-. e7.5' r` x. c . r Actual Set Backs in Feet to: North ISC> South East Size of Parcel Type Const. Occupancy i1-I New Const. Valuation Main Floor West Zone Classification Residential ❑ Commercial ❑ Sprinklered ❑Yes ❑No ❑Req'd. Remodeled Valuation Upper Floors Cover Deck Total Bldg. Floor Area Garage/Storage Uncv. Deck Greenhouse Fin. Basement Unfin. Basement No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance DESCRIBE W 8. • RK PrrE- J, SOURCE F UTILITIES VALUATION 9. GAS ELECTRIC WATER PUBLIC ❑ PRIVATE ❑ SEWAG SEPTIC SEWER 0 Required Received Yes ❑ Yes❑ No❑ No Shorelines/Flood Hazard Yes ❑ Not Applic. ❑ Ownership Public 0 Private 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 AGEN yg- SPECIAL APPROVALS PRELIM. FINAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. APPLICATION DATE SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTIC) Ecr 061 ' '7 rrE ! lv.sip e"'7!i'i%J. 93** PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Number Plans Required 0 Received 0 FEES COLLECTED Building 6010C) Plumbing Mech. Plan Check SEPA Modular/ MFG. Home Other (Specify) TOTAL $ 'Cr) PERMIT NUMBER WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEd4UEvl 5 - 8 5 PERMIT3418. L 5 5 * 5 O. 0O ioliAL