1984, 01-26 Permit: 84A-733 GaragePLAN NUMBER
11
J APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PREaS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. . 18517 62QGE
PARCEL NO.
07 55 1 - 0413
LOT
2. 13
BLOCK
2 -
SUBDIVISION
RNER:JIEV`I McB4L.E Roma Sua9,
OWNER
3 12-t71-fLAOP L, MGf7ON Nt42
i MAILING ADDRESS
S
9r<' , I
PHONE
PHONE
LEGAL DESCRIPTION:
ZIP
Actual Set Backs In Feet to:
2 1
North 1 0 1 (South 4va,
East 14' I Want
CONTRACTOR
4. ADDRESS
LICENSE EXPIRES
PHONE
Size of Parcel
110' $ 64
Zone Classification
2l11 t4
Residential/ff.
Commercial 0
ZIP
Type Const.
YN
Occupancy
2- 3
Spr nklered
DYes DNo oReg id.
5.
DESIGNER
ADDRESS
PH NE
3iCog.es
Z
5Ca— Valuation I Remodeled Valuation
—j 7/�r7r. Ai
Upper Floors
Main Floor
Total Bldg. Floor Area
Garage/Stora e
524 eF
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin Basement
TYPE J 'NEW D ALT. D AD' N.
7. OF .
WORK,21 BLD. ❑ PLMB. D MECH.
D RPL. 0 MVE.
❑ M.H. D POOL D OTHER
No. Baths
No. Floors
No Fin Rooms
No. Dwellings
Gerbil. of Exempt.
or Variance
Required VesO No0
Received YesO No0
Number
8.
DESCRIBE WORK
rETAGI-a' &ARA&E
Shorelines/ Flood Hazard
Peso Not Aeolic.❑
Plans Required 0
Received 0
VALUATION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 9
SEWER
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 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 REQUIRESPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVAL
ve Env. Health
Planning
PRELIM. FINAL DATE
Fire
Prevent.
v/ Engineer
4s
QP
Utilities
SEPA
Plans
Exam.
Building
Tech.
06'
APPLICATION /7/ 8/8 �l
DATE 7
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
oc...\ru"ic} X7' t` -1'"k Ct rCk C&QQQ S
th0,ut- cRiavd.42
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)
54 co
5 ✓
TOTAL $
PERMIT NUMBER
84A - 7 �3
02* *5400
*54006
A *0.00 8
7322
01-26-84
2 6479.
>-
-J J
LI -
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
n.DATEJSSII�EE' 6'- 8'4
PERMIT 10.A. rd
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