1983, 06-09 Permit: 83A-5082 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
-1 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 458.3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
N•► LO GRiao'l
LOT
2. 7
BLOCK
Z
SUBDIVISION
M1yx.o.3 UIsTA
1s-
3.
OWNER
MIKE Natiatz-'c
PHONE
PHONE
42q- 4'Ai
PARCEL 140.
1155-1 - fXoO-7
LEGAL DESCRIPTION:
MAILING ADDRESS
N.144O 6took,
ZIP
a4o1`
Actual Set Backs in Feet to:
North 5 f South
4.
CONTRACTOR
Cou.tn-ey
LICENSE EXPIRES
PHONE
55-etolG
Size of Parcel
7t3 )o 135
11 Zone Classification
R M b -k
East Zti I West
Residential 1/
Commercial 0
ADDRESS
E.. SSA`-
ZIP
4 .a.oc
T Cant.
Occupancy
Y111.1
Spr nklered
ores ONo Ones' id.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Const. Valuation
•P nee
Main Floor
Remodeled Valuation
Upper Floors
Garage/Storage
Tota Bldg. Fiery Area
480
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin Basement
TYPE Nip EW 0 ALT. 0 AD' N. 0 RPL.
7. OF IBLD. 0 PLMB. 0 MECH. 0 M.H.
WORK
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin Rooms
No. Dwellings
1
CertifI. of Exempt
or Variance
Required
Received
DESCRIBE WORK
6 Tpc l-kE C gfsE j0 St.,'
GAS ELECTRIC T WATER/
PUBLIC L
PRIVATE 0
VALUATION
9.
5 R
SOURCE r
OF
UTILITIES
(-zooQ4)
Shorelines/Flood Hazard
YesD Not Apollc.0
Number
Yes❑ Notl
Yes No0 /
Plans Required I9
Received A7
SEWA
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 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 INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
Kizoa- 6/9
rub
97
3/q
APPLICATION
DATE - 1 - g3
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
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)
4-1-m
TOTAL $ X7.03
PERMIT NUMBER
933.14 -So9a
02* +47.00
*47.006
A *0.00 3
508.12
06-09-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
•
diMn60' 'a'3
DATE IsreuEDI ' 9
508,20 *47,uuo.i
PERMIT NO. TOTAL
G.PAvy .,e64o
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