1983, 04-18 Permit: 83A-2998 ResidencePLAN NUMBER
APPLICATION,/PERMIT .
.SPOKANE COUNTY — DEPARI_ENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHIIJGTON 99260 / (509)456-3675
1
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
lri. S, 341/a Fou en.
PARCEL NO.
3354 -O4oS
LOT
2.
BLOCK
SUBDIVISION
10ILO WOE 19T Poo
OWNER
3_ 36A0.) 64JA\Sbos-3
MAILING ADDRESS
PHONE
PHONE
a)10-OQ-flo
LEGAL DESCRIPTION:
CONTRACTOR
4. i'Y1..T. N. CONST .L&c.T LOYV
ADDRESS'
5. 1 `b5
LICENSE EXPIRES
ZIP
PHONE
Actual Set Backs In Feet to:
North Z2' 'South 15s
East Z5'
West
Size of Parcel Zone Classification
St k ta4 Pa�azc r t� -\
Residential [Y'
Commercial 0
tcA Paeac
ZIP
Ra-zrx
Type Const.
Occupancy
WWr.A-)
Spr'nklered
OYes DNo DReq'd.
5.
DESIGNER
PHONE
New Const. Valuation
(0D,59'0
Remodeled Valuation
Total Bldg Floor Area
I e35
ADDRESS
ZIP
Main Floor
130'7
Upper Floors
Garage/Storage
528
Greenhouse
6.
CHANGE OF USE FROM
TO
Carer Deck
Iq'L
Uncv. Deck
Fin. Basement
3'3G
UnfIn. Basement
CO I
TYPE KNEW 0 ALT. ❑ AD' N. 0 RPL.
7. OF
WORK VBLD. ❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
Caroti. of Exempt.
ar Variance
No. Floors
i
No Fin. Rooms
Required YesD Nolic
Received YesO No0
No. Dwellings
Number
8.
9.
DESCRIBE WORK
ethoCal.E
VALUATION
.yGSI� IV[�
Shorelines/Flood Hazard
Yes❑ Not Apollo. 0
Pare Requ red ['
Received
SOURCE GAS ELECTRIC
F
UTILLIITIES
WATER
PUBLIC Gd
PRIVATE D
SEWAGE
SEPTIC 0/
SEWER 13
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 INSP TIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS SPECIAL COND TIONS:
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
NIS
•ferki
APPLICATION. 477_7, ^ ,s3
DATE O� �` e'-
REVERSE SIDE FOR NOTICE)
PERMIT 1S NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building 51cs.00
Plumbing
Mach
Plan Check
SEPA
Modular/
MFG Home
Other (Specify)
TOTAL $s7o'�
PERMI— NUMBER
02* *370.00
*37Q006
A *GOO
29.972
04-18-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'4=18-83
299,82 *370.0'0°i
DATE ISSUED PERMIT NO.
TOTAL
ORA/NA E FASEA16t/T
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FOX COIJFST
SITE PLAN
SCALE : /N.20'0"
MANHOLE
Covey