1983, 08-08 Permit: 83A-7478 GaragePLAN NUMBER
APPLICATION/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
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
tD& rim rn% JU
PHONE
PHONE
PARCEL NO.
11532. -cloys
LEGAL DESCRIPTION: y�j�3c� (fic Ey2exr
1%3
MAILING ADDRESS
E
ZIP
CtC't7iz)1.1.
Actual Set Backs in Feet to:
North /South
4.
5.
CONTRACTOR
ADDRESS
DESIGNER
LI_C NSE gXPIRES
Sle#
PHONE
7C)i-
Size of Parcel
430 7CSGCD
11 Zone Classification
nnF5
East ( I West
Residential
Commercial
ZIP
Type Const.
Occupancy
Spr'nklered
❑Yes ❑No ❑Req'd.
PHONE
Nev,Ranst. Valuation
"0.0 a
Remode ed Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
2.44C?
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE D NEW ❑ ALT. ii(AD' N. ❑ RPL. ❑ MVE.
7. OF C7BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
Certifi. of Exempt.
or Variance
Required
Received
DESCRIBE WORK
8. rl 6.)
-- sir G-t.Arz A4
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
No. Dwellings
Yes Nog(
Yes ❑ Nc /
Plans Required ti
Received ❑
Number
VALUATION
9. Ilb,
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE/
SEPTIC COF
SEWER ❑
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 complidd with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the • rovisions of any other state or local law regulating construction or the performance
of construction. SEE REV. E ' IDE FOR REO D INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE f — 73
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
tat!
Q
kg
Fee
SPECIALy� CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
i` K0 Co
16 1'40
;76 f►J
4L
INakoats i
"optive API I -t /4.e.-. i E4 -7o
14-.
r( - itiQ,a . tit C)C4t.k. s ,�
sko;,-ety�e►u.�
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
Other (Specify)
TOTAL $ 1)62
PERMIT NUMBER
� - 74-1
02* *15600
X156005
*C-70
747.%
02-06-83
h%.7c;
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE14D0 8 ^ 8 3 PERMIT N(Y 7. z *1 5 6. 0 0.,SAL
ea KIyT
•
1
CA/S l
1\ ',9/SEP
46 C ARA eL
4°
4°•
EX,SY 64c1/[...PC
//v'
p RTy 41'N C
1-1-5-e2- C u c K E))E-
plAvi O M/EL.K E
pARLE.1- Ns, /16-3._7013
WI
WI 10.3o of E of 5 w of
�� , o f S rjS'a