1983, 08-01 Permit: 83A-7239 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENTOF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES
— PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
S.a 1o1 — ssNvv%Aso
PARCEL NO.
2gS44 •b522 -
LOT
2.
BLOCK
SUBDIVISION
3.
4.
5.
OWNER
-PAUL Sc-ecK
MAILING ADDRESS
.27ib9 t‘5.4-1 rhy%)
CONTRACTOR
5¥ wC.
ADDRESS
•SuvvLS
DESIGNER
PHONE
PHONE
LEGAL DESCRIPTION: Cho 5.re.L bso-s-i :ai.C- r_ I'z
a U4D s_a'ss3 c3x
ZIP
moi)0C-
Actual Set Backs In Feet to' 'L
North 0 'South East ( West C.oQ�
LICENSE EXPIRES
PHONE
ZIP
Size of Parcel Zone Classification
�z0 X.Z54- 1x??t7-0X
.214.Const.
aLa
Occupancy
ON -1
Residential 0
Commercial 0
Spr nklered
DYes 0 N ❑Req'd.
PHONE
ADDRESS
ZIP
New Const. Valuation
J4►' -1t t (, CN
Main Floor
Remodeled Valuation
Tota Bldg. Floor Area
e(.tnO
Upper Floors
Gara ey (Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfln. Basement
TYPE 0VAD' 0 ALT. AD'N.
7. OF fl / BLD. 0 PLMB. 0 MECH
WORK
❑ RPL.
O M.H.
O MVE.
O POOL
O OTHER
No Baths
No Floors
No. Fin Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
DESCRIBE wept(
8. .►\ic Ac-iAcc. a, a cavCt 6.4x4 -6b
Shorelines/ Flood Hazard
YesD Not Apolic.0
Required Yes0 Nuq/
Received YesD No0
Plans Requ red V
Received K
Nur
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER. _
PUBLIC I3
PRIVATE 0
SEWAGE
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 REVERSE SIDE FOR OUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL . DATE
Env. Health - v7
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
fi
(
1/74
APPLICATION
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mesh
Plan Check
SEPA
Modular/
MFG. Home
e . Lt%
Other (Specify)
TOTAL $ J2S:e
PERMIT NUMBS
&k- 739
02'* *8200
*82006
A *000 0
72382
08-01-83
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,Q .s
DATEQSSUEDJ: If`�Q; �3
PERMIT/N2.;3'9'2. * 8 2.0.0 tOtrAL
'rit'13 o 6-1-eb-f APR
i rxtli
e4.01