1983, 07-22 Permit: 83A-6867 ResidencePLAN NUMBE
/60¢5IC 140
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT E2F BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. a izv/z
C,ATAL-Do
PARCEL NO.
1S517. I 1137
LOT
2. 6
BLOCK SUBDIVISION
3 Stock 4i
lists -mom z 'opP.
OWNER
3 * D{rt.TA coNS'WJA TION
MAILING ADDRESS
92.o3 BoeNE:
PHONE
c7a -SaO2.
PHONE
LEGAL DESCRIPTION:
&'P jE LSto rn 2 ' 'i L L633
ZIP
Actual Set Backs In Feet to:
North 30/ ISouth 8
CONTRACTOR
4. S'/niE. DE. cr"AcWz14Nz
ADDRESS
LICENSE EXPIRES
- 53
PHONE
Size of Parcel
8‘.5-x 1.38'
ZIP
Type Const.
V— N
Occupancy
R-3
,1
East 15—s � West
11 Zone Classification J
As wct(tlulte-sail
15,
Residential 0
Commercial 0
Spr nklered
DYes DNo :Req'd.
DESIGNER
5. ADDRESS
PHONE
New Const. Valuation
°3Sti455°°
Remodeled Valuation
ZIP
Main Floor
9/ 6'
Upper Floors
Garage/Storage
Tota Bldg. Floor Area
Greenhouse
CHANGE OF USE FROM
6.
TYPE 0 NEW
7. OF
WORK 0 BLD.
TO
Cover Deck
Uncv. DDeck
V C J
Fin. Basement
--r
Unfin. Basement
O O
0 ALT. 0 AD' N. 0 RPL. 0 MVE.
0
0 PLMB. 0 MECH. 0 M.H. 0 POOL OTHER
No. Baths
1
No. Floo s
F
CertifI. of Exempt.
or Variance
No. Fin. Rooms
Required YesD NofrJ
Received Yes: Noie
No. Dwellings
1
Number
°. DESCRIBE WORK
RESioanc - Deck ftTTAcWeD GPci2A /
W
PUBLICATER/
1a
PRIVATE 0
VALUATION
9.
.SOURCE
OF
,UTILITI ES
GAS
ELECTRIC
Shorelines/Flood Hazard
Yes0 Not Applic. 0
Flans Req fired 0
Received 0
SEWAG
SEPTIC
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation 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 RREE/VER�jSE SIDE FOR REQUIRED INSPECTIONS
OWNER ORAGENT 4J'- / ./ `A Jr2 DATE
SIGNATURE OF CATION ^`•� _��
SPECIAL APPROVALS ' SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE O4 fnAP
Env. Health
p0iM10 7-4
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
�M17
Yee
etc
50' Rik;
Veck 4eovk 301'
/YlAdrw
cAgn Fa(- C°NTRACTbR.
PERMIT 15 NONTRANSFERABLE
PERMIT 15 NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
270711c
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
oo
TOTAL $ 10. -Pi
NUMBER
834 &7,061
02* *27000
*270.00 bi
*270.006
A A 0.00 0
647,32
07-11-83
2 6479.
>—
C. C.
0
V
W
—J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
op 62 2`= 8, 3'
PERMITNO! 6 7 2 *27 O. Q U -t% AL
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DELTA
CONSTRUCTION CO.
WAYNE R. CREED
s
E. 9203 BOONE
SPOKANE. WASHINGTON 0920E 509.928.5802