1983, 06-28 Permit: 83A-5900 GarageI rL1'1111 NU VIDCr7 I hrr��tr /y 1 .vim/,rcrSmi 1
IL SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
/ I NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
PARCEL NO. 3 4-(PL4 4 O I
SUBDIVISION 3 LEGAL DESCRIPTION:
PHONE PHONE
C, -),l v, V'A-_'-' qzB 3(0
2—I L.e North South (p East 9& / 1 West
LICENSE EXPIRES I PHONE Size of Parcel Zone Classification
F't_HMI I IVUMtst:H
83A - Sgco
ADDRESS ZIP Type n t. Occupancy Sprinklered
�/ .(\/A" ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const. Valuation Remodeled ValuationT
otal Bldg. Floor Area
5. S '1 C.e v1 -7 ZV
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
�—-7 7_0
CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
6.
TYPE No. Baths No. Floors No. Fin. Rooms No. Dwellings
7. OF ❑ALT. ❑ AD' N. ❑RPL. ❑ MVE. ❑ OTHER
WORK D. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi. of Exempt. Required Yes❑ N Number
or Variance Received yes No❑
DESCRIBE WORK Shorelines/ Flood Hazard Plans Required
8 14 -,c -.jz, C Yes❑ Not Applic. Received
VALUATION I SOURCE GAS ELECTRIC PUB IC ❑ SEPT CGE nershlp FEES COLLECTED
9• UTILITIES PRIVATE SEWER ❑ Public ❑ Private
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 Building C�8
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 arfR,her state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR RE UI ED INSPECTIONS Plumbing
SIGNATURE OFQ APPLICATION �� R
OWNER OR AGENT DATE L� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env. Health
N3f} G/ SEPA
Planning
Modular/
MFG.Home
Fire
Prevent.
Engineer Other (Specify)
Utilities
SEPA TOTAL $
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans r THIS BECOMES A PERMIT.
am. �(J PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
ffu-ildTech ing (O IN 180 DAYS
DATEOS61JFJS 8— 8 3 PERMITT9. 0. 0 z
* 6 8< 0 0 �TAL
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