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1984, 01-25 Permit: 84A-874 Garage
PLAN NUMBER 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 1. STREET ADDRESS C `164O7 IAuuLAL-D A LOT 2.C, OWNER 3. i11 K t= MAILING ADDRESS BLOCK PARCEL NO. SUBDIVISION SAN CA 0544 4.12. 1c. 4. 5. CONTRACTOR ALP? ADDRESS • 49X1 DESIGNER PHONE LICENSE EXPIRES PHONE ({22, 'c Z(if L ZIP ActaxX - c51 t EGAL DESCRIPTION: Actual Set Backs in Feet to: North 3 + 'South East 143r-14e,4 Size of Parcel -75". _S ZIP el C {.?C ADDRESS CHANGE OF USE FROM 6. TYPE •d NEW 7. OF WBLD. WORK -SCRIBE WORK 8. —0 E Cie -t4(1) VALUATION 9. PHONE ZIP TO ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE. ❑ OTHER ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Type Const. Occupancy Ok New Const. Valuation West Zone Classification Residential 0 Commercial ❑ Spr'nklered EYes ❑No ❑Req'd. Remodeled Valuation Main Floor Upper Floors Cover Deck No. Baths Certifi. of Exempt. or Variance Garage� /- SStorage Total Bldg. Floor Area Uncv. Deck No. Floors C",1 fZiAA F (2`-Y4 U40 cam- f1 SOURCE SEWAGV F SEPTIC SEWER ❑ SOU UTILLIITIES GAS ELECTRIC WATERY PUBLIC IS PRIVATE ❑ Fin. Basement Greenhouse No. Fin. Rooms Required YesE Received Yes No❑ No Shorelines /Flood Hazard Yes ❑ NotApplic. ❑ Ownership Public ❑ 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 SID FOR ' OUffi D INSPECTIONS SIGNATURE OF OWNER OR AGENT APPLICATION DATE SPECIAL APPROVALS PRELIM. FINAL DATE 4' ,—?c (F427-5 Env. Health Planning SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. L (.1 b_c PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Unfin. Basement No. Dwellings Number Plans Required ❑ Received ❑ FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular/ MFG. Home `00 Other (Specify) TOTAL $ !S4 co PERMIT NUM41 *54.00 *54.008 *000 4.4 0.1 -26 -84 2 64 7 9. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEW5SUEDD o 4 PERMIT N. " 4 z *54.00 L RULES: (1) Building must be 5' from property line (2) Building must be 10' from drain field (3) Building must be 25' from property line if property line is next to a street (4) Building must be 10' from all existing bldgs. G.� ©0 ? -ci HOMEOWNER: M1K1= STANLEY ADDRESS: 7907 E . 4-U&- 0ST/41' fr.) LUA PARCEL No. G-7.5-43 D716 LEGAL: ��01�TR CA QA�I� S 26 L� c.� G — ELL A A-C - 3 4 kA4V FILL -D „3 �sepric 135 Evf t'v - '1- 'G4✓__t `) L11JE. 1. Draw in all existing buildings. 2. Draw in new building & how many feet it is from existing buildings and property lines. 3. Name all roads next to property. 4. Draw in drain field and whether you are on a septic tank or sewage system.