1983, 06-20 Permit: 83A-5517 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
PARCEL NO.
LOT
2. 3
BLOCK SUBDIVISION
3 GCCO .ELv ADOv-C&G'v
OWNER
3i*c-E?�azzs
MAILING ADDRESS
• x.11 Caci1/44.v i N
PHONE
PHONE
LEGAL DESCRIPTION:
ZIP
Actual Set Backs in Feet to:
North ej 'South
4.
CONTRACTOR
uC.k_tS
gb rvtF t�-E JVIC)i16z
LICENSE EXPIRES
PHONE
Gist- 'GlCo`3
ADDRESS
C.• • l7? \7
YV.
ZIP
gai01(..
Size of Parcel
gC'XtzG
Type Const.
Y /3
Occupancy
'1(111' t
11 Zone Classification
ACi .s ltd
East 32_ I West
Residential Lot
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req 'd.
5.
DESIGNER
PHONE
wConst. Valuation
Remode ed Valuation
Total Bldg.
Hoar Area
7C.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE a NEW ❑ ALT. IZf AD'N. ❑ RPL. ❑ MVE.
7 OF
WORK VBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. ()Things
Certif1. of Exempt.
or Variance
Required
Received
Yes❑ Not
Yes❑ No❑
Number
DESCRIBE WORK
8. A-TrAc. G Yz>AchE
VALUATION
UTILITIES
SOURCE GAS ELECTRIC WATERS AG Ownership
PUBLIC SEPTIC
9 Public ❑ Private
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Plans Required 0
Received ❑
OF
PRIVATE n SEWER 0
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 REOUIRECLINSPECTIONS
SIGNATURE OFc APPLICATION
OWNER OR AGENT C— DATE /
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Euilding
Tech.
della
9e) -
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 $ eat`C
PERMIT NUMBER
bW\- 5 7
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06 -20=8.3
DATE ISSUED
551,72
*61.00 c'
PERMIT NO. TOTAL