1983, 06-14 Permit: 83A-5254 DeckPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
000.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
LOT
2.
V,V, 3/5 11 -ear -
BLOCK
SUBDIVISION
OWNER
2.
eziL ee/! A4eN
MAILING ADDRESS
PHONE
28-SS2e
CONTRACTOR
4. .IlI•im' X '2—
ADDRESS
330•/ c' -
DESIGNER
LICENSE EXPIRES
PHONE
ZIP
PHONE
PARCEL NO. 1+.54._ (a
LEGAL DESCRIPTION: Pr• Gr Y2_, Sial I74_.
13 7-56. r,+ N ,sl,.i °r
I S A
I, '( 6- l �, I.� ��v l
Actual Set Ba in FBAt tb: I Ea
North (south Dov East
Size of 0fCJ Parcel r -)
I %
West'
Residential
Commercial rI
neyCla si tign
ADDRESS
CHANGE OF USE FROM
6.
ZIP
C319 °2 -
PHONE
ZIP
TO plea
TYPE ❑ W El ALT. L''AD' N. 171 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK Fldf
BLD. ❑ PLMB. ❑ MECH. 0 M.H. 0 POOL
Tye
°Mae ncy
3
Sprinklered
Yes ❑No ❑Req'd.
New t; onst. Va�on
Remodeled Valuation
Main Floor
Upper Floors
Garage/Storage
DESCRIBE WORK
8 :ZAP eel tt" /y,raLy xo% .�✓QP 6'J.,r7:
VALUATION SOURCE GAS I ELECTRIC WATER / I SEWAGE%
OF PUBLIC I SEPTIC
9. 4/`%O0 ` UTILITIES PRIVAT [1 SEWER
3r,
No. Baths
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Greenhouse
Fin. Basement
No. Fin. Rooms
Required
Received
YesE No❑
Yes❑ No -
Shorelines/Flood Hazard
YesO Not Applic.I'
Ownership
Public r Private
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 OF
OWNER OR AGENT
APPLICATION / `!
DATE (p - lY� AW -a_
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDiT-143NS: (SEE REVERSE SIDE FOR NOTICE)
6-0►1-r, 2AN14 -* 23-2 Psi(' I
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required
Received Eli
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
P 3NUMBE 54-
02* *28.00
*28006
A *0.00 0
525.32
06-14-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
II j>•1
DATE`1SSUED` — PERMIP5
Ng. S. 4 -Si
*28.UU cEcirjAl.
fi
Jc
joo .✓ -te7"
6 'S/ti•te
a'
\ \
Per
.2Y
*C P4trs
b le' fibril QN
0
4 -P's
Ar/o". f r °rims.
asT rp Qe rx4Gxe- e
Pe,:r es. zootic/ iB"veep
ro/Sr .2 xio .r /y ' 2 y oc,
Pa,%,ive A y fie' �l.�h•
STi.%S 46'' w/'de
io K 2 7 a lan1 #,.'u wr (I on 1"
i/ /cox?', 3o4:1 S,vaw icy, d,
�ajei
/1
2 $/O r ,G 45S
Decr,%µj g Ret/wood
uigirr .C»ocrvre ro /Se
C�i x herc.%,
6
aT/'a si'dPr- %H
Es.r//%, or"/'" -c.