1983, 09-06 Permit: 83A-8608 Deck AdditionPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 'v - 4-4 i(�o 0444z- 1-7 i (c:,,
LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2. % (o 3 iM q Rb N
OWNER PHONE PHONE
MAILING ADDRESS ZIP Actual Set Backs in Feet to: E)-tTf r'104
S 4- Q \(' G' t. i 5 North South East t West
SPECIAL APPROVALS
_ PRELIM. FIN�f{l4D,
Env. Health
Planning
Engineer
Utilities
SEPA
Plans 5uO�J7
Exam. tem �=Jrc
Building
Tech. �}
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
PERMIT NUMBER
SEPA
CONTRACTOR
LICENSE EXPIRES�
P N
Size of Parcel
Zone Classification
Residential
CL
17i�1f✓t� . SONS
O
J2—
le56 -X
Z -i
Commercial ❑
4.
ILL.
AD RESS ��++ rH
ZIP
Type Const. Occupancy
Sprinklered
L�Z?� G , 5 7
CIA2-01__!�
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
N�Const. Val15�00uation
Remodeled Valuation
Total Blddg.. F� Area
5.
ADDRESSZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
--
CHANGE OF USE FROM
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
T70
No. Baths No.
Floors
No. F,n. Rcoms
No. Dwellings
TYPE n EW 11 ALT. AD' N.
❑ RPL. ElMVE.
I
%.
❑OTHER
WORK BLD. ElPLMB. E]MECH.
ElM.H. ❑ POOL
Certifl.ofExempt.
Required
Yes❑ No
Number
w
or Variance
Received
Yes❑ No❑
—QCRIBE WORK
P4::) r_-�i-Tf0
Shorelines/ Flood Hazary
Plans Required El8•
11� e'a
Yes Not Applic. Fj
Received ❑
VALUATIOrI
I SOOUFCE
GAS
ELECTRIC
PUBLICR
SEPTIAC
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private
in
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 resume to
p p g g p p give au-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE Rg±gRSE SIDE FOR
5EQUIRED INSPECTIONS
Plumbing
SIGNATURE OF
i
APPLICATION
OR AGENT
A %d21 DATE 3
__/OWNER
Mech.
SPECIAL APPROVALS
_ PRELIM. FIN�f{l4D,
Env. Health
Planning
Engineer
Utilities
SEPA
Plans 5uO�J7
Exam. tem �=Jrc
Building
Tech. �}
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
PERMIT NUMBER
SEPA
Modular/
MFG.Home
>_
CL
O
Other (Specify)
V
W
J
ILL.
TOTAL $ Z I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
(� 9 (� L Q 0
DATEISSUED' U — PERM146.01 8 z
*20.00QOITAL