1983, 03-24 Permit: 83A-2192 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON 1 SPOKANE, WASHINGTON 99260 1 (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
N. 106 c
PARCEL NO.
t - 04 -Ce -1 -
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 A - GL,+�vu-ThE -
MAILING ADDRESS
N ? o
4.
CONTRACTOR
ACPHA
PHONE
PHONE
c32.6.
LEGAL DESCRIPTION:
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to:
North 1 'South
ADDRESS
- C' $ t 4-(oo
ZIP
�tCc�tC4
Sim of Parcel
Sgx t -2I
Type Const.
f•-)
11 Zone Classification
-ice; .%0W.-
East
IWest 1 +
Residential f3
Commercial ❑
Occupancy
(r�1-1
Sprinklered
❑Yes ❑No ❑Req'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
st Valuation
Main 1oor
Remodeled Valuation
Total Bldg. Floor Area
�-e
Upper Floors
Garage (Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfln. Basement
TYPE EfJ pEw 0 ALT. 0 AD' N. El RPL. ❑ MVE.
7. OF H BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL
WORK
0 OTHER
No. Baths
No. Floors
1.
No. Fin. Rooms
No. Dwellings
Certlli. of Exempt.
or Variance
Required
Received
Yes❑ NoLY
Yes❑ No❑
Number
DESCRIBE WORK
8.'Tf4G4€ vat2aActe
VALUATION
9.
SOURCE
UTI LLIITI ES
GAS
(„..4 Sc.+ 3 WAT(�.ox 2-49
PUBLIC ❑ SEPTIC IT
PRIVATE 0 SEWER 0
ELECTRIC
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Plans Required 0 ,��r
Received 0
Ownership
Public 0 Private 91.
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 REVER E SIDE FOR REQUIRED INSP TIONS
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
r3
SPECIAL APPROVALS S CIAL CON ' TIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
I
Plans
Exam.
Building
Tech.
PRELIM. DATE
VJ L L. L v 1
F ors -
/i r,-fN o
,P79 -',!?0? -z
PERMIT IS NONTRANSFERABLE
PERM IT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
c ,
TOTAL $
PERMIT NUMBER
S - 2 7 9 -
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQs2UED2 4 - 8
219.2•
PERMIT NO.
*54.00
O J
TOTAL
RULES: HOMEOWNER: 47,97"— d`cet.7Ti�/'
(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
44) Building must be 10' from all existing bldgs.
ADDRESS: /V 741.r.estii-P_ .
PARCEL No. /,?S- 1i4/ — O 90 `1 - 07
LEGAL:
C
—JJ
0
1 'm•-. C.
• Cess paeL
J
Sti'Lerpo-t7b) r-4
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.
ts
t-1QE Vii r1u.
�GQ0
PLAN NUMBED
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
0ORTN 111 JEEEE ASOw 1 SPGR AME. WAININO T ON 11Y10 f 15011150.5011
APPLICANT: COMPLETE NUMBERED SPACES — PRESS NAM) TO MAKE 3 COPIES
.9.N.n .CO.EL
,. N. 7o'2
—[D
3.v_s.e_.eteo44•C4C•r
op.mI.0O.
1u,
LEGAL b£ R1 tI0N
OVINE. P.04
f11cT (.L/e..YnEn I
01.0..E
Rxh. 4-')s:T
S.
NQ.nO1ELV.
hl 107 P.e>..r
gi.Ce.
.Gi75,awNr.,4.
'••" I. IP... 1.�1 ,�I"'I SI
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.,n �Jttiii PA. Y.% 1
1.
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.0.4•kg4�
w.h1. 4�... J%
5 -km 1'2o •i,.L�9':: 1
OWMAN/
.cuKN
7.C..: r1, Iat fYt
AP
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tro.Ow 6..rrsr bFi1..0
-4T,,,+ }'M•\ o.. o. EMAIL
DES0.E9
..04
,5,. � P......rr...w. two Mos 190
ff .=+, 4ESow
S. .9SN
or.,,,
.....i.. 1..4-.1.— 190....0.. I .----
'Ti.....ma
o,.
..W O. LAS.. . I 90' _
S.
C...00 Iv. 0..1 uNM. E.....
C EW 0 ALT 0 AD' 0 AK. 0 NVE.
T, 0,/a.NDPO OTNEA
woaN PIM) 0 PLMII 0
P+r I` w...
te•
OD......nePE
O
w..m. +0000. 1.0 w l
w.....
Cx..E..v4
B'icT....u,G.a.a1 4-4-5,-A", 1p1}3
�
04..y .Mw.
..O MmN.O
... R..A00 I
PardGw
,U.I, 'E„'..
B l SOH
04.._/n
FEES COLLECTED
...Sei....
I nr.OF °NAA
,...w 1101,
p0 ..0
I.nRT to
.101111.,,..
SIGNATURE
OWNER
INN t now N. And .31.9010.0 IPI. opOwAllon .nd Arm ,..E 101 'NOTICE"
and *n 0 .09.9410 to11u..rN m(..9. All 0,00101.11 N 1.00 Ana rElr.n0.a
1.009001100 .I0. 09.x0.pc1I..0 0.4010 or not. TIN, wonting o. . 00(911*
.10410 or core.. V. 91.011101. AI Any 090.0 or I.01 10. (pllIl0lp 0an.1(oCIOI
SCE *EVER E0109 TOR 0E0U10 El..I TIONS
p10.11Nn. M.04M40E on
iowrnIn f 1111110 W 11
E0.. 001 proton.. w 9100 w•
or 0.. p.ry(m.IN.
./ ; V (✓
•000.9
OF (jJ `///�/), / AOpLICATl09
OR AGENT ....4 et--.).- (11'] GATE
"•+
SPECIAL APPROVALS
Wt. guyAL DM
SPECIAL CONDITIONS: RE0 RE 0ERSE SIDE FOR NOT ICE I '
'
Ow Got
11111,II
//
Sall
` '
.4...0`r
1.a..
*141.111
I.T.9...
v+...
TOTAL S
1 PERMIT NUMBER
�3A- 2179