1983, 11-18 Permit: 83B-1857 DeckPLAN 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. �Z
S (l 09 Urras
PARCEL NO. Z Z —
BLOCK
SUBDIVISION
3.
4.
5.
OWNER,'
ANN MoMy
MAILING ADDRESS
S it 9 •Burr nS
PHONE
PHONE
921 2178
LEGAL DESCRIPTION:
ZIP
Actual Set Backs in Feet to:
North
West
CONTRACTOR
&Lco %,.ory}
ADDRESS
f) 87-15 ANTI e4-01/1
DESIGNER
LICENSE EXPIRES
�• 17' 4
PHONE
`t83-8494
Size of Parcel
Zone classification
Residential ❑-�
Commercial 0
ZIP
PHONE
Type Const,
New Const. Valuation
Spr'nklered
❑Yes ❑No ❑Req'd.
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main4li5ora
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE &NEW reAt-r. 1:1.44‘N. ❑ RPL. ❑ MVE.
7. OF ��
WORK Vg ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
No. Dwellings
Required Yes❑ No Q' Number
No. Fin. Rooms
Received Yes No L:
DESCRIBE WORK
81AGt—e,56
VALUATION
9. 7.e -e ,
SOURCE
UTILITIES
t 2 A z_t.4
GAS 1 ELECTRIC
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Plans Required 0
Received 0
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private Q'
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 ether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel a provisions of any other state or local law regulating construction or the performance
of construction. SEE REVS SIDE FORPEQUIRED INSPECTIONS
OWNER OR GENT v DATESIGNATURE OFAPPLICATION f, SPECIAL APPROVALS APPROVALS ` SIE IAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PA-43T-
(s
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building LD
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
S 1&S7
*U. CC
1 1 -- 1 6 - .3
f.47n
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
e. DATEIS$UEDL 8 — 8 3
PERMITINS.5.7 2 * 4 0, 0 0 00IrAL
C x t s 17'V5 6 /172415 6 Com/ • 5C- to /
0;/Z / L- GONS1 avJGS /.36( iyT Wil /�i.V�542'l•� D1=
GUl/624-0 /.p"LK /N /Yi /
141 cf
On' P/
e9
,v
Ge�C uU c /'sT
Lac we -A.c- Oc - 2-0gI°C.
6,h/0/i6'5 '3 - / 7
/2 (re) 4AM/ / l an/3Y
S . / 7 /3r''riti5 ,QUA
�, 0O0 °�9 1L Lxn0.t