1983, 07-08 Permit: 83A-6330 MHr'LFUV LIUIVIDCr1
ArrL It.A 1 IMI/ I'LKIVI I I
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
E. AttZV t>✓c.J c_r,
LOT
2.'7
BLOCK
SUBgpDIVISION
�5rA_(cc
3.
OWNER
Ota2
PHONE
gc'?LArt_ is S
PHONE
526 3c)
PARCEL NO.
5Z- I7
LEGAL DESCRIPTIO
MAILING ADDRESS
'W if`1f3 trilvA
ZIP
Actual Set Backs in Feet to:
North —54) South .3 t
4.
CONTRACTOR
0(bn:2T' At .D
ADDRESS
Y4•D.e IA) ot421/4tvA
LICENSE EXPIRES
PHONE
3-4.830
Size of Parcel
sx tt0
ZIP
411 205~
TConst.
tv
Occupancy
Pit _t
11 Zone Classification
East t U ( West
Residential IP/
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
5.
DESIGNER
PHONE
New Const. Valuation
4fp(. ' CC
Remode ed Valuation
ADDRESS
ZIP
Main Floor
Upper loors
Garage/Storage
SZG
Total Bldg. Floor Area
�51•�
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE E34 EW ❑ ALT. El AD' N. ❑ RPL. ❑ MVE.
7. OF
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes No(i
Yes No❑
Number
DESCRIBE WORK
8 �1 e – FA,tos t oznoc-s `f: 4 -zc�•Ac c.t0 6 pct..-�Gs
i, ._,
SOUR
VALUATION CE
Zia',UTILITIECOO S
GAS
ELECTRIC
PUBLIC RP
PRIVATE ❑
Shorelines/Flood Hazard/
Yes!: Not Applic. ❑
Plans Requ'red
Received ❑
SEWAG
SEPTIC
SEWER 0
Ownership
Public 0 Private V
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 can e provisions of any other state or . -1 law regulating construction or the performance
of construction. SEE SI ► FOR REQUIRED INSPESIGNATURE OF
OWNER OR AGEN
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE EVERSE SIDE FOR NOTICE)
EPRELIM. FINAL DAT
S
TIO
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
%y
2824 (7/8
'h
DATE
APPLICATJIONer
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 1 OO • 06
Other (Specify)
TOTAL $
PERMIT NUMBER
E-CQ33C�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQSSUEE 88 3
PERMI141a 3' 0 5 *1 6 1. Q 0 *OkAL
Ov'Ne R; FOUR SEASOIS SG�R HO^^SS
Yd. 2$ JND/Aiyek
5:150 -KA E, \%A . 101:45
FAIRY /E W Comer
95°0
� I
43 1
•
V
,01
,n
[
,�F
,SS
1E -a--->,
Q5.00'
0
11
SCALE; 1/$b~sI FT.
PARCEL 08552 - /S07
LOT 7, BLOCK 2, COAe14-LATE ESTATES
E.18802 Fa )R ✓i E cJ Cauicr