1983, 08-09 Permit: 83A-7517 CarportPLAN NUMBER
APPLICATION /PERMIT
r 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
1.
STREET ADDRESS
N . ZSZ5
<,Enr CCt2
PARCEL NO.
o7 S47 - Zot:9I
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 t21 W N RA2 R‘ s t-(
MAILING ADDRESS
IJ.)32-S
CONTRACTOR
4. k7tz Pr NSs
ADDRESS
- O. 7.3 ov
PHONE
PHON
Q2 -644.o2-
LEGAL
c4lc2
LEGAL DESCRIPTION: ° Taco, wktl n
N •SO•�r of T5�-tc_ 2L-1
Qv C.
ZIP
QC°. t 2
Actual Set Backs In Feet to:
North rj h 'South
fl 1
East
West
LICENSE EXPIRES
PHONE
925-22n G
Size of Parcel
iE5L 1C-5
Zona Classification
AG•
Residential H
ei
Commercial C
14-Crs7-
ZIP
a42-tq-
Type Const.
ITN
Occupancy
Spr nklered
DYes DNo CReq'd.
5.
DESIGNER
PHONE
Air Const Valuation
4(e «ia
Remodeled Valuation
Total Bldg. Floor Area
460
ADDRESS
ZIP
Main Floor
Upper Floors
Gara�gge//S�Stoor^rage
'o
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unf in. Basement
TYPE IJ EW D ALT. D AD' N.
7. OF td BLD. 0 PLMB. 0 MECH
WORK
❑ RPL: 0 MVE.
❑ M.H. ❑ POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Ceftin. of Exempt.
or Variance
Required Yes❑ No17
Received YesD NoD
Number
DESCRIBE WORK
VALUATION
9.
Zo K-2_0
Shorelines/ Flood Hazard
YesD Not Applic. 0
Rare Required a
Received E /
SOURCE
F
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC Cr
PRIVATE 0
SEWAGE/
SEPTIC rir
SEWER 0
Ownership J/
Public 0 Private lG
I hereby certify that 1 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 tate or local law regulating construction or the performance
of construction. SEE R SIDE FOR REOUIR INSPECTIONS �/ p'/
OWNER
OF ///' APPLICAT DN///O
OWNER OR AGENT DATE �l
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Ram
Exam.
Building
Tech
PRELIM. j.IN �L
T
-S-Sy
ark/
GLLE
- PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building CX2
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG Home
Other (Specify)
TOTAL S3-Z'[�
PERMIT NUMBER
83 1 - 751-7
02* *3200
*320.025
A *000 8
751,62
08-09-83
2 6479.
0
O
V
W
J
u_
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
i4• �1
EUO7-6:3
PERMIT 7rx.L 7 Z, *'f 20 0 a F
TOTAL
V
' I •
•