1983, 06-02 Permit: 83A-4759 Covered DeckPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARtMEN`r 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.
�� V
2 L-7 8�y"K
SUBDIVISION, /I
U
OWNER
MAILING 2.74_ 6frs.
C
4.
ADDRESS
LICENSE EXPIRES
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
PHONE
2-0 6
PHONE
ZIP
PHONE
ZIP
TO
TYPE ❑ NW 0 ALT. le/AD' N. ❑ RPL. ❑ MVE.
7. OF
WORK BLD. ❑ PLMB. 0 MECH. ElM.H. 0 POOL
0 OTHER
PARCEL NO.
2.8.t54+130,
LEGAL DESCRIPTION:
Actual Set Backs in Feet to: yr IE.-'Kf
North !South East 11
Sizeif�f1��i�Vr_�cel_ . eye �r
TypaY . 10c ricy
New Cont Valuation
Main Floor
ne Iasa IL
West
tion
r
Residentlal.l'r
Commercial
Spr nklered
❑Yes ❑No Req 'd.
Remode ed Valuation
Upper Floors
Garage/Storage
IL
No. Baths
DESCI3IBE_ Q
8. �J
VALUATION SOURCED
9• UTIF
LITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE ❑
SEWAGE
SEPTIC.
SEWER ❑
Certifi. of Exempt.
or Variance
Uncv. Deck
No. Floors
Required
Received
Shorelines/Flood Hazard
YesL. Not Applic.
Ownership
Public ❑ Privete4'
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 RERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF . 0f 4) / APPLICATION f _ a_ g
OWNER OR AGENT `L"-4) h DATE
SPECIAL APPROVALS
Env. Health
Planning
PRELIM. F
DATE
f
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
'r L�? (�PJ =i -Tv FIE ,2
INEft-e—>ric›,i)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Yesr7 Nor
Yes:: No
IUntin. Basement
No. Dwellings
Number
Plans Required C:
Received ❑
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular /
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
eE5+ 4-
02* *34.00
*34.00U
A *0.00
475.52
06-02-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEUEDO 2_ 8 3 PERMIT NO. 5. 7 2 * 5 4,0 O TOTAL
•
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