1983, 07-13 Permit: 83A-6439 ResidenceIFLANNUMt3tH I AF VL19L;A 1 IUM/PLHMIT
SPOKANE COUNTY - DEPVTM,,ENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 992601(509)456-3675
ADDRESS
v APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
Floors I
Garage/Storage
STREET ADDRESS
PARCEL NO.
1.
S. i4�ta �A
2,
LOT
BLOCK SUBDIVISION
Uncv. Deck
LEGAL DESCRIPTION: S.
S. 74'' O (_ >rM q, kp, t((j2
Unfin. Basem
OWNER
PHONE
No. Batas No.
3.
K S MM Cows --T ¢
No. Dwellings
PHONE
3,?. -
Z
t
MAILING ADDRESS
7. ❑OTHER
ZIP
Actual Set Backs in Feet to:
hj „
CertIfi.ofExemyt. Required
Variance
Q
North South 5 1 East West
6
36
or
LlL_._ Received
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4.
Received W
VALUATION
9
SOURCE
OF
-:20O
ELECTRIC
Commercial ❑
SEEWAG
SPTIC L7
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
PRIVATE
SEWER 11
public El Private 11UTILITIES
Q3 tv% —
❑Yes ❑No
❑Req'd.
DESIGNER
Building �i4.00
PHONE
Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
Plumbing
SIGNATURE OF APPLICAjION _
Colo ,�Z4-
Mech.
t
O
ADDRESS
ZIP
Main Floor Upper
Floors I
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basem
TYPE WNEW
No. Batas No.
Floors
No. Fin. Rooms
No. Dwellings
El ALT. EJ AD' N. El RPL. El MVE.
Z
t
I
7. ❑OTHER
,►,/
WORK �O BLD. ElPLMB. ElMECH. ElM.H. ❑ POOL
CertIfi.ofExemyt. Required
Variance
Yes / No 0__j
Number
or
LlL_._ Received
Yeses No❑
DESCRIBE,kVORK
Shorelines/ Flood Hazard,
Plans Requiredf
Cr'3c'thnti C*-'lfAL-NC.E
Yes❑ Not Applic.
Received W
VALUATION
9
SOURCE
OF
GAS
ELECTRIC
WATER
PUBLIC
SEEWAG
SPTIC L7
Ownership
FEES COLLECTED
PRIVATE
SEWER 11
public El Private 11UTILITIES
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 �i4.00
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 REVERS IDE FOR REQUIRED INSPEalONS
Plumbing
SIGNATURE OF APPLICAjION _
OWNER OR AGENT, DATE 2
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
��
SEPA
PlanningC
d � K
44
l.�-v.^„ �
Modular/
Fre
MFG.Home
Prevent.
Engineer
_ „
Other (Specify)
Utilities
TOTAL $ sei4'.06
SEPA
WHEN MACHINE VALIDAT
Pans �3 PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. �83 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech.
IN 180 DAYS
Te
Tech. 0 7 -1 3- 8 3
DATE ISSUED
PE MIT UMBER
s
s
D IN THIS SPACE,
643.95 *394.00°
PERMIT NO. TOTAL
t(i
1 r1
1 ..
- 7. 00
6,75
01'-
1
(:
5-o
P ' - 74, o'
0.00
1 .
1"
O
0
.-6.67
—6.17
1111[111=
6.17
1500 r R 4 tit cl-t E
f�1At nt FL. G! t3, p'
2 goy.
- 15
• 14-
-
441111111
J 33-
74. o' 1
1GICoNG
6.00
,ZY-0• 15
ct/k cuT4., 4P
A
C a r sT
L t= G A L
O K ,T r
NOTE_
CGj-jRc) = 33
Lop E to FT FR)Jt Nous_E 5%
41 to AA u Lo >' E �Ls�w- El . = 2tZ, p L ,o T p LA ki
SCALE. L• so -FT
S 74'01=
, 10
6 pc) 1;..4 1-4
S.
PT
Lo -Ts x,10,11,12
13ETTN's Anb1TtOKI
COUNT
s T
;�.,.LI _ k C N STRucT1 01.1
ANIL AMMIAMIllill AM Mb.