1983, 11-09 Permit: 83B-1467 ResidencePLAN NUMBER
APPLICA/PERM IT
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 ADDRESS
1. N. �3L0
LOT
2. '2 -
BLOCK
SUBDIVISION
ioAo
3.
ow k0 lI. �Cad
MAILING DDRESS
PHONE
- S6 en- K ra c—r
PHONE6 2979,
Z91s279
PARCEL NO
-01°1--
LEGAL DESCRIPTION:
4.
CONTF�Agt
LICENSE EXPIRES
PHONE
ADDRESS
ZIP
Actual Set Backsjin Feet to:
North 1 I (South 9'
Size of Parcel
X• pO�gl'v
TYPeICnpm�,f f `
[East
west C"
^ Residentialfr
Commercial 0
Zo Classi Iwt••
Spr nkiered
Mies ONo Reg 'd.
5.
DESIGNER
ADDRESS
PHONE
ZIP
6.
CHANGE OF USE FROM
TYPE ■ EW
7. OF
WORK BLD.
TO
Mit
Covar
Upper Floors
Uncv. Deck
ed Valva., 1
Garage/�Wrl_I '
❑ ALT. 0 AD' N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
❑ OTHER
No. By9
No. Floors
-2--
Total Bldg. Floor Area
Greenhouse
11 No. Fjp. Rooms
Fin. Basement
LIZ/gement
No. Dw9111ngs
Certlf . of Exempt.
or Variance
Required Yes
❑ No❑
Received Yes
Number
Non
DE C ,iIBEWORK w I 60(
8. (�-3
VALUATION
9.
SOURCE
OF
UTILITIES
AS
ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEWAGE
SEPTIC
SEWER 0
Shore) e
s/ Flood Hazard
Yes Not Apple. 0
Ownership
Public 0 Private
Plans Requlr .
Received
I hereby certify that I have read and examined this appl'cation 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 REVERS SIDE F! Ft
RE r _ RED INSPECTIONS
SIGNATURE OF/�/ / DATE APPLICATION ea.?
OWNER OR AGENT ♦ .
SPECIAL APPROVALS
PRELIM. FINAL DATE
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
_
ay
(
SPECIAL CO DITIONS: (SEE REVERSE SIDE FOR NOTICE)
cot•i'' Uc_(A6V1NJ [z228 Jc)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
356
Other (Specify)
TOTAL $
PERMIT NUMBER
83 , —14cn
02* *35800
*358006
A *000
9aaft
10-27-83
2 64 7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEi59UEW.91 x.83"
PERMITJfi&.tu 7 5 *3 5 8.0 0 504AL
Lo+ 2 .Stock 2
j hD
Swan acres:a : Cdd -ton.
I •
N.;s32o. Best_K�..
I •
-1 .•; ,
spptlGhk
:I.; I
F 11'-7'
I
/9;4.8°- _Pa'
-Jit
.1. .
Sed back .
Nofe
Sewer- .Stu/b`d..to-fron± of. lot