1983, 03-01 Permit: 83A-1430 GaragePLAN NUMBER APPL1k;AT10N/PERMIT
SPOKANE COUNTY - DEPAATWENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREErADDRESS A PARCEL NO.
LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 4 iL I
9• UTILITIES PRIVATE ❑ SEWER ❑ 1 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
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 DEF EQUIRED SPECTIONS Plumbing
SIGNATURE OF x APPLICATION
OWNER OR AGENT DATE -� Il Mech.
SPECIAL APPROVALS SIPCIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTI )
Plan Check
PRELIM. FINAL DATE
Env. Health
tl (\ -5r<E✓ c� SEPA
Planning
Modular/
Fire MFG. Home
Prevent.
Engineer Other (Specify)
N SEE e�iA -bs�0
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. iu PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech ing 3 IN 180 DAYS
/ -
TOTAL $ (�' it, 00
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMIT NUMBER
DATE 6100 1 —8 5 PERMIT NOt 3. 0 z * 61. 0 012�rtAL
CL
O
C-1
W
J
U -
OWNER
PHONE
PHONE
3.�-A C� t
3ctJ��
MAILINGADDRESS
ZIP
Actual t Backs In Feetto:
E - i87►t
FR1yt.\Iy6V—) C.. k '
cigo-.1-1
North ISouth t �'
East 33 West
CONTRACTOR
LICENSEEXPIRES
PHONE
Size of Parcel
Zone Classification
Residential [W
4.
FI: IZwA
�M7AN'�
�J].�tO
\�`� i \\4
TZ
Iv-,
Commercial E
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
E • �(o�
I�fZAL'V,.t
ck6la3-7
V:1\j
ih—(
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
NConst. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
517
`5.72
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
—
5-7'2-
—
CHANGE OF USE FROM TO
Cover Deck Uncv. Deck
Fin. Basement Unfin. Basem
6.7.
1
TYPE
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
I
El ALT. ❑ AD' N.
El RPL.
ElMVE.
/NEW
OF
El OTHER
WORK V BLD.
❑ PLMB. ❑ MECH.
❑ M.H.
❑ POOL
Certifi.ofExempt.
Required Yes❑ N
Number
or Variance
Received Yes❑ No❑
8.
DESCRIBE WORK
Shorelines/ Flood Hazard
Plans Required ❑
., ��
CZ�.IZAG�t}Qj
Yes❑ Not Applic. ❑
Received ❑
VALUATION
I SOURCE GAS
OF
ELECTRIC
WATER
PUBLIC ❑
SEWAG
SEPTIC
Ownership
FEES COLLECTED
9• UTILITIES PRIVATE ❑ SEWER ❑ 1 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
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 DEF EQUIRED SPECTIONS Plumbing
SIGNATURE OF x APPLICATION
OWNER OR AGENT DATE -� Il Mech.
SPECIAL APPROVALS SIPCIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTI )
Plan Check
PRELIM. FINAL DATE
Env. Health
tl (\ -5r<E✓ c� SEPA
Planning
Modular/
Fire MFG. Home
Prevent.
Engineer Other (Specify)
N SEE e�iA -bs�0
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. iu PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech ing 3 IN 180 DAYS
/ -
TOTAL $ (�' it, 00
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMIT NUMBER
DATE 6100 1 —8 5 PERMIT NOt 3. 0 z * 61. 0 012�rtAL
CL
O
C-1
W
J
U -
irk V e T V `V V► I-% G. vv1 11 %W -[ � I I "
E.19 711 AAIRVIE W ar. ES ASS
114.49 if
T
h
9,q• 46491
N07r; 1?,CR.A"Al" ^' PleA,AIX-jaaZ /$ /y X)p77ED LINES
AND e,RCL,Ep DirtENSIoNS.
10
P^IRVISW
couRr
P�,uL 4�88oNS
6, /8711 FAiRVIEW cr,
OT -)5 OJec+4AqA% N/A.
94027