1983, 10-28 Permit: 83B-1043 BarnPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARtME�KIT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
K- I8 -7 a,*
PARCEL NO.
bg �4+ - 030
LOT
2.
OWrfER -Of d✓
3
G
BLOCK
MgILING AQDRESS
1227
CONT R1kCSOJ.
4. ADDRESS
SUBDIVISION
P4$122 4,2.7
LICENSE EXPIRES
10NE
LEGAL DESCRIPTION: I 54...z?Q, sec. Pahl.
J"
PHONE
Actual Set Backs in Feet to'
North (South tCO = [East2C1941: IWest
Size 3 cel 3 s -
r
Zoon Classification
N 6++aCU3
Residential Q
Commercial 0
ZIP
Ty nst.
N
Occupancy
Spr nklered
DYes ONo Reg 'd.
5.
DESIGNER ,
PHONE
ADDRESS
ZIP
New Const,.Valuation Remodeled Valuation
Main Iloor
I
Upper Floors
Total Bldg Floor Area
Garagpora e
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck,
Uncv. Deck
m. Basement
Unfin Basement
TYPE 27
7. OF
WORK
W 0 ALT. 0 AD'N.
BLD. 0 PLMB. 0 MECH
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certif1. of Exempt
or Variance
Required YesO No0
Received YesO No0
Number
8.
9.
DE CRI$ BE WO (
VALUATION
IL>'.Iv) W/o
WATER
PUBLIC
PRIVATE 0
SOURCE
F
UTILITIES
GAS ELECTRIC
Shorelines/Flood Haza d
Yes0 Not Applic. 0
Ram Requ red 0
Revel ed 0 •
SEWAGE
SEPTIC
SEWER 0
Ownership
Public 0 Private 0
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 glue au-
thority to violate or cancel the pr• Isions of any other state or local law regulating construction or the performance
of construction. SEE REVE E FOR/• �:, IRE! INSPE! IONS
SIGNATURE OF
OWNER OR AGENT
APPLICATIOI 8,o/ B3
DATE
SPECIAL APPROVALS
PRELIM FINAL DATE
d
I( }bf
Env. Health
Wen
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Ram
Exam.
Building
Tech
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)
24.co
24, 06
TOTAL $
PERMIT NUMBER
B33 -104-3
02* *24.00
*24.006
A *000 8
104.02
10-28-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
} t
DATE'1SSUEt'f- 88 3
•
PERMIT'NO. 4'3'5 * 2 4 0 0.41AL
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