1983, 09-29 Permit: 83A-9706 GaragePEWIT NUMBER
--7 0
PLAN NUMBER
APPLICATIQN/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 ADDRESS
1. 1•1 /4 - ire -
PARCEL NO.
4-54:3-lP-,So
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
C - L.-
-ir�C�CzAt-ty
PHONE
PHONE
qCt ZiC�
LEGAL DESCRIPTION:%] j lit (�i 5.rie
F , IS& F . n.e' `Ca
MAILING ADDRESS
i.► .
4 -z -t tat 1t
TRACTOR
NSOW -u4Js
4.
LICENSE EXPIRES
ZIP
PHONE
CrIE> •72•72C
Actual Set Backs In Feet to:
r�
North £'j 1South E_ •t- [East t = [ West
Size of Parcel
‘t6 x t Sc
ADDRESS
iii Vati' 'j
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
ZIP
Ce7_l 4-
PHONE
ZIP
TO
TYPE EOF�lI�NEW 0 ALT. 0 AD' N. 0 RPL. ❑ MVE.
7.WORK ISBLD. 0 PLMB. 0 MECH. 0 M.H. Cl POOL ❑ OTHER
T� ep�Const.
-
Occupancy
b�n•t!
�pwConst. Valuation
Zone Classification
Residential 1/
Commercial C
Sprinklered
❑Yes [INo OReq'd.
Remodeled Valuation
Total Bldg. Floor Area
Main Floor
Lipper Floors
Garaelrage
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Uncv. Deck
No. Floors
Greenhouse
Fin. Basement
No. Fin. Rooms
Unfin. Basement
No. Dwellings
Required Yes E: No[V
Received YesE No
Number
SCRIBE WORK
8. i 4tlC� aper •Gl.
VALUATION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC O
PRIVATE ❑
SEWAGE
SEPTIC er
SEWER O
Shorelines/Flood Hazard
YesE Not Applic. ❑
Ownership /
Public LI Private El.
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 INSPECTIONS
SIGNATURE OFC APPLICATION,
OWNER OR AGENT C�,, Get, DATE 6' ' 3
SPECIAL APPROVALS
!;;FiELIM. FINAL
DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
ON
17‘4.-4.s.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
1 14 Ia. tL> W ALL_ ^12Jc-C`.a1 O r \A1 ALL
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Requ red fee
Received IA
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
* 75.Q0
* 75.006
A *000 0
950,2-2
09-26-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
▪ -85 PERMIT NO. O h 2
*75.00
O J
al -
TOTAL
AS
=LoSc
,5 9095.
•
•
$' I
83
o'
1 '
23'1
i I 1
EX is -fir -a&
µouse , 54z.cezE
VOA y 4 G, A R.Ac_, fc
5o'
�-_..__i_
l j 4 1 11
2'
I
20I
QJnseta : , G. L. TAG CART
M. 42.7 e 5"f _ ROAD
VEP-ADGLE� /4A5NIN6To*3
9,21{0
DESCR I PT I oN :
130' oP T -%E 5.2l0t
opt TWE VJ, 150' OF TI*E E. 170'.
TR 6!0
PARC eL t\Jo. 14545 - .1890• 8
l
Y
SGAL-E: 1 = 20
Pim f