1983, 02-04 Permit: 83A-0852 Detached GaragePLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTNftrltDF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. E .� -
LOT
2.
BLOCK
f=� + —le-
SUBDIVISION
OWNER
3. ALLif .r) ir't i±5a)V Rr'7
MAILING ADDRESS
t \C(c A i41. -LL(
CONTRACTOR
4.
5.
ADDRESS
ADDRESS
DESIGNER
PHONE
P ONE
PARCEL NO.
LEGAL DESCRIPTION: Cieas�: u,t. 1 'b ber'
y4. iC7-> E: KC— V•Y��
LICENSE EXPIRES
ZIP
�C( ZCC.
PHONE
- 0( =
Actual Set Backs in Feet to:
North 'South t ` East I West
Size of Parcel Zone Classification
C...4'
IC 3 C;
ZIP
T ?Cr.
Type Const.
CHANGE OF USE FROM
TO
PHONE
ZIP
TYPE ■ EW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
❑ OTHER
Occupancy
�Y.
Const. Valuation
Main Floor
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Residential t'
Commercial ❑
Spr'nklered
❑Yes 0 N ❑Req'd.
Remodeled Valuation
Greenhouse
Uncv. Deck
No. Floors
DESCRIBE WORK
U `.. r: rc ACNE-
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
Shorelines /Flood Hazard
YesE Not Appiic. ❑
SEWAGEf
SEPTIC �31
SEWER ❑
Ownership
Public ❑ Privatej❑
Fin. Basement
No. Fin. Rooms
Required Yes❑ Nof f
Received Yes NoGi'
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 taws 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 REVER SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
IftEMEIRP,
SPECIAL APPROVAL SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
APPLICATION 1�
DATE )(
PR IM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans C`it.r FtLe PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Tech. �,.� ' tlf
Unfin. Basement
No. Dwellings
Number
Plans Requ red EY ,
Received El
FEES COLLECTED
Building
Plumbing
5 Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ C -
r—P-ERAIT NUMBER
*8200
*82.00
*000
8512
02 -04 -83
5,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE `isliEb0 4 - 8 3
PERMIT N@1 5.2
*82.UU t4,_
Serving the Inland Empire
Name
7-0-4ht Coadrtity STEEL BUILDINGS, INC.
NORTH 1220 FANCHER WAY SPOKANE, WASHINGTON 99206 (509)535-9016 1-800-572-5641
GENERAL CONTRACTOR • LICENSED • BONDED • INSURED for your protection
(Lic. No. TO-WN-CS-B263S9)
nuek, f-i(geod
Address 1) cro I
City S (:)121/171-(2- State
County rip c? >c)
Telephone C 26 Y—S'
Representative
Source of Lead
.4 a
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