1984, 04-13 Permit: 84A-3325 GaragePLAN NUMBER
L
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 ADO ESS
1.
5 3 00 gp.
LOT BLOCK SUBDIVISION
2.311 3 e013
O NER
im CT COM,L
MAILING ADDRES
CONTRACTOR
4.
ADDRESS
PHONE
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
PHONE
837
ZIP
PHONE
ZIP
PHONE
ZIP
TO
TYPE KNEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK .BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
PARCEL NO. cg 44 -04Z-1
LEGAL DESCRIPTION:
Actual Set Backs in Feet to: _
North ' (South e),(19- s
Size of Parcel
a
°I 7< i ? �.
TyTizst. Occupancy.
8. DESCRIBE WORK 4 C1+ 6,4)46
VALUATION
9.
SOURCE
UTILLIITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC
SEWER
N Const. Valuation
Main Floor
West
Zone Classification
4)7
Residential S.
Commercia ❑
Spr'nklered
EYes ❑No ❑Req'd.
Remodeled Valuation
Upper Floors Garage /Storaoe
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑ No
Received Yes❑ No 7
Shorelines /Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public O Private /k.
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 INSPECTI • . S
SIGNATURE OF
OWNER OR AGEN
�/
DATE
APPLICATION] L /
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
c.11-
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS:'SEE REVERSE SIDE FOR NOTICE)
1‹ NEB A O►• -4400N °FI fls. u)A .
P-OOS C am
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required CI
Received ❑
FEES COLLECTED
Building 6 00 s
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
661 1
TOTAL $ —
PERMIT NUMBER
glA - ?(
*E 800
*48,006
A +, 0.0 0
33242
04 -1, -84
f. 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATECIs4U d 3 - 8 4
PERMI1 9.2 5
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«.,'i.,unuacwn, feet; nearest lot line at ❑ front, ❑ side, ❑ rear
feet.