1983, 11-14 Permit: 83B-1570 GaragePLAN NUMBER APPLICATION/PERMIT PERMITNUMBER
SPOK4.^k'' BOUNTY— DEPARTMENT OF BUILDINGA SAFETY /5 r
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREETADDRESS + /�� PARCEL NO. (� -�
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LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2. 2 Z GcAc-a} Lim t
OWNER PHONE PHONE
3.
M&WNG DDRESS ZIP Actual Set Backs In Feet to:
C e j0,:;,?>0j�Vj �j� North South 0 East 5 West
C TRACT E SE E S HO/NN M Size of Parcel Zone Cl kation Residential
4.
fdYs / Vls� l Commercial ❑
ADDRESS ZIP ITyp6Cc?V.Occupanpy ❑Yes SprONored ❑Req'd.[� 2 i
DESIGNER PHONE New Opt. Valuation Remodeled Valuation Total Bldg. Floor Area
5. (00
ADDRESS ZIP Main Floor Upper Floors Garage/ t age Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unf in. Basement
6.
TYPE NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE. No. Baths No. Floors No. Fin. Rooms No. Dwellings
7 OF WORK BLD. ❑ PLMB. ❑ MECH. ElM.H. El POOL ❑OTHER Certif1.ofExempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ N
D S� CRIB 0 R Shorelines/ Flood Hazard Plans Required ❑
8. f ��' Yes❑ Not Applic. ❑ Received ❑
VALUATION SOOUFCE GA LECTRIC ATEWAGV PUBLICR SEPTIIC Ownership 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 BuildingL
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 RJEVEE SIDE FOR R UIRED SPECTIONS Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE J-' Mech.
Utilities
Plans
Exam.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
A
J ID — r PERMIT NO .5 / L * I' O oTOTAL
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PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
�! 9
Utilities
Plans
Exam.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
A
J ID — r PERMIT NO .5 / L * I' O oTOTAL
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SCALE: i/sib"1 1 gr.