1984, 02-22 Permit: 84A-1405 GaragePLAN NUMBER
ArrLISA I ION /rLKMIT
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
� - 18712_
PARCEL NO. — 1
(.)5"
2. LOT
OWNER
BLOCK
SUBDIVISION
PHONE
7/Z,72-- OIZv
PHONE
3. 1A, CA bT
MAILING ADDRESS
CONTRACTOR,
4.
LICENSE EXPIRES
LEGAL DESCRIPTION:
ZIP �7
PHONE
'274,-0- S883
Actual Set Backs in Feet to:
North U 1South [East I West
Size of Parcel
is 17/7
Zone Classification
Residential
Commercia
AD E,ss r.1 V
L.� 2� Z C�
2=1,444(7
ZIP Con, ti
Typer11
Occtoarlcy
Sprinklered
❑Yes ❑No Req 'd.
5.
DESIGNER
PHONE
New Const. Valuation
~� 71- 0
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper F oors
Gara eg_/Storage
�0
Greenhouse
CHANGE OF USE FROM
6.•
7.
TO
TYPE NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. ❑ POOL
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes❑ No❑
Yea❑ No❑
Number
DESCRIBE WORK
8.
VALUATION SOURCE GAS
UTILITIES
9.
ELECTRIC
WATER
PUBLIC
PRIVATE❑
SEWAG
SEPTIC
SEWER 0
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Plans Required ❑
Received 0
Ownership
Public 0 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
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 REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE - -
SPECIAL APPROVAL
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PRELIM. FI L DATE
AWei
2 fp
PECIAL CONDITIONS: SEE REVERSE SIDE FOR NOTICE)
col\f l.[ c �L--vi _ i,1 t _L g,j 1 574.5 Lo)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ o
PERMIT Ni..1M114R7
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSJED2 2 I_ 8 4 PERMIT NO 8, 5
0
* 6 8. 0 0
0 J
a1 -
TOTAL
GEORGE (AJLNDT
Lor S BLOCK 2 -
COACH -L ITE E S TATE S
16712 E. FA 'ROE W Cr
39
PAPCEI.- 0i3SS2 - ISos'
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