1983, 04-04 Permit: 83A-2540 Garage AdditionPLAN NUMBER
APPLIICATuN/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. 6. -2 ,�
2. LOT S ("I tjr 1 /� ICJ" 'v[ 7 1‹
BTCK
OWIJ
3.
_R • he
MAILING AD1RE1
C' 3 ANO
4.
ADDRESS
PHONE
LICENSE EXPIRES
PARCEL NO. 104-1 — 1097
•
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
"2-49G
PHONE
LEGAL DESCRIPTION: Lcr.` (C / , I L • 51
Levi -co'
Actual Set Backs in Feet to:
North (South
East
` West
ZIP
PHONE
ZIP
TO
TYPE W ❑ ALT. ❑ AD' N. ❑ RPL.
7. OF
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H.
8.
9.
DESCti33E WO)
VALUATION
SOURCE
F
UTILITIES
GAS
ELECTRIC
❑ MVE.
❑ POOL ❑ OTHER
(61)<.
WATER—/
PUBLIC t"
PRIVATE ❑
SEWAGE
SEPTIC
SEWER ❑
Sizepf ce' �I
Type VSN
Occu
New Co...ist:Aluatiob
Main Floor
ne lassification
iG
Residential L
Commercial ❑
Spr'nklered
❑Yes ❑No Req 'd.
Remodeled Valuation
Upper Floors
Cover Deck
No. Baths
Certif1. of Exempt.
or Variance
Gara eg /Storage
Uncv. Deck
No. Floors
Total Bldg. Floor Area
Fin. Basement
Greenhouse
No. Fin. Rooms
Required Yes❑ No❑
Received Yes El No❑
Shorelines/Flood Hazard
Yes ❑ NotApplic. ❑
Ownership
Public ❑ 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 REQUI - E' INSPECTIONS
SIGNATURE OF • , / APPLICATION 0
OWNEil OR AGENT DATE
SPECIAL APPROVALS SPECIA
PRELIM. FINAL DATE
Env.Heanh
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
1,014.1-f '
ONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Requ red Cil/
Received gir
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
.7
Other (Specify)
TOTAL $ 7
PERMIT NUMBER
21i4
)2* *47.00
*47006
A *000
25332
04,-01-83
6.479.
O
W
J
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEISSUED' 4 - 8+ 3
PERM 112N 4. 0 z * 4 Z 0 OAL
bC3ONE.