1983, 05-06 Permit: 83A-3724 PoolPLAN NUMBER APPL1q-AT ION/ PERMIT .�
SPOKANE COUNTY - DEPAR-YMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
4.
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
7 PARCEL NO.
SUBDI I ION LEGAL DESCRIPTION:
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E I7z� �• 3?,
PL10NE HON�(�I EJ� fjl/Z- �•T 974—
LICENSE
7 —
LICENSE EXPIRES
DESIGNER PHONE
5.
ADDRESS ZIP
STREET ADDRESS
1.
5- I Ic
Z e Classifica 'on
LOT
BLOCK
2.
Doc u ncy
I.-
Sprinklered
❑Yes ❑No ❑Req'd.
3.
!!TF Q 1,6A
Remodeled Valuation
M I ING ADDRESS
No. Dwellings
1101,
4.
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
7 PARCEL NO.
SUBDI I ION LEGAL DESCRIPTION:
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E I7z� �• 3?,
PL10NE HON�(�I EJ� fjl/Z- �•T 974—
LICENSE
7 —
LICENSE EXPIRES
DESIGNER PHONE
5.
ADDRESS ZIP
Main Floor I Upper
CHANGE OF USE FROM
North 35 South East West �3
!T�Z
Size of Parcel
'I rj (�%
Z e Classifica 'on
Residential.8
Commercial C
Type 0Dns .
IV N
Doc u ncy
I.-
Sprinklered
❑Yes ❑No ❑Req'd.
New Const. Valuation
Remodeled Valuation
I Total Bldg. Floor Area
Main Floor I Upper
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement Unfin. Basement
6.
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE NEW ❑ALT. ❑ AD' N. ❑RPL. ❑`MVE.
7• OF ❑OTHER
�OOL
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H.
Certifi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DESCRIBERIIIORICM
$• C��
Shorelines/ Flood Hazard
Plans Required ❑
��
C�
Yes El Not A Iic. ❑
Received ❑
VALUATION
SOOURCE
GAS
ELECTRIC
PUBLICR
SEPWTAC E
Ownership
FEES COLLECTED
9 0 o
UTILITIES
PRIVATE ❑
SEWER ❑
Public El Private el
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
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 REVFRSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT DATE
Mech.
SPECIAL APPROVALS
Spfol of, CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
MFG. Home
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
1'! IN 180 DAYS
Other (Specify) f�
roy
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMIT NUMBER
a
Y
DATE4SSUEW 6' 8 3 PERMITIPI�. z * �' O O f&AL
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