1983, 05-23 Permit: 83A-4394 ResidenceNUMBER _ ' _ APPL ICAT LOXPERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON /.SPOKANE, WASHING'Si ON 99260 / (509) 456-3675
LOT BLOC
2.
OWNER
3. &. kilirA I- (—
MAILING ADDRE
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL NO.
LL_ A J CQ15 41 3- 2 (a d']�,
SUBDIVISION LEGAL DESCRIPTION:
ORcr► W Aqt-5 ADD . S toa' 3L . 2-.0
PHONEPHONE
�—,1--.0 1 to- r.,ZT 0,Q
I FL4_A
LL A
9q Z O
North South 17 East
34 1 West % (,p
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Z neClassification
Residential
4. 1? "4 ,17
1 q q 1-S `1 D
'v d X � 4 (
t�G
SLL&
Commercial ❑
AdDRES9
ZIP
Type Cons
Occupancy
Sprinklered
�Q,(sT- 'UE
V IJ
(►/L�
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. ValuationRemodeled
Valuation
Total Bldg. Floor Area
5. uYac4ca
5q00CP
--
I ( (a3z.
ADDRESS
ZIP
Main FloorUpper
Floors
Garage/Storage
Greenhouse
H145
-- 1
t-{8)4
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement Unfin. Basement
6.
--
20
1 -- I & oo
TYPE
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
Nll�EW ❑ ALT. ❑ AD' N.
7.
❑ RPL. ❑ MVE.
i t( .Z,
OF
❑OTHER
WORK ls�BLD. ElPLMB. ❑ MECH.
11M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes No❑
Number
or Variance
Received
Yes No❑
DESCRIBE WORK
8
Shorelines/ Flood Hazard
Plans Required
; vi4 a.vK S Ad'
Yes❑ Not Applic. ❑
Received ❑
VALU ION
9
SOURCE
GA
ELECTRIC
pUBUCR❑
SE C O
Ownership
/
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private E�j
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
VLEW 33 C>
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
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 REQUIRED
INSPECTIONS
Plumbing
SIGNATURE OF
APPLICATION
S--Os"'kL37
OWNER OR AGENT
DATE
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONSr(SEE REVERSE SIDE FOR NOTICE)
PRELIM. F!AAL DATE
�J Ern. Health
Plan Check
/
�• -
`
SEPA
�a�n'�
S
Modular/
MFG. Home
Fire
Prevent. /
Engineer [
Other (Specify)
Utilities
TOTAL $
SEPA
WHEN MACHINE VALIDATED
1Plans
. E"am'
g''v l�
PERMIT IS NONTRANSFERABLE
ND VOID IF WORK HAS NOT COMMENCED
THIS BECOMES A PERMIT.
PERMIT NUMBER
o�--:�A-43q-
02�, *330.00
*53a006
A *0,00 00
439.32
05-23-83
z 6.4 7 9.
PERMIT IS NUoo,5 � .. 4 �j
Qrech. IN 180 DAYS DATE ISSUED r/i` t08 3 PERMIT N(3. 9.4 'z * 3 5 0.0.0 "
Building
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