1983, 04-15 Permit: 83A-2948 GarageI PLAN NUMBER
APDL IGAT IQN / PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
'—' APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
i. N) S t5 - A(-i?£S �•,
PARCEL NO.
Zdo
LOT
BLOCK SUBDIVISION
LEGAL DESCRIPTION:
2.
I I
tcW 0*11F E Roo' OE t,� t3S" 13 4`�
OWNER
C3 rr tic-
PHONE
I
PHONEW
qty SE,sZ
CDS mkxss A
3
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
S _e'e 5
rr++
W
North South East West ( O
CONTRACTOR
SA
LICENSE EXPIRES
PHONE
Size of Parcel Zone
,
Classification
Residential Q____
4.
O x
Commercial ❑
ADDRESS
ZIP
Type s Occupancy
Sprinklered
❑Yea ❑No ❑Req'd.
DESIGNER
PHONE
New Valuation Remodeled Valuatiotagldg.
n
To Floor Area
�'
Z 1
10
5.
-U
ADDRESS
ZIP
Main Floor Upper
Floors Gara
/Storage
Ce
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE��W
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
❑ ALT. C1AD' N. ❑ RPL. ❑ MVE.
7. ❑OTHER
WORK E -BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Certifi.ofExempt .
Required Yes❑ No
Number
or Variance
Received Yes❑ No❑
DESC
8 BE WORK
Shorelines/Flood Hazard,
Plans Required ❑
2 `F 3
Yes❑ NotApplic. �
Received ❑
VALUATION
9
I SOOURCE
OF
GAS
ELECTRIC
WATT O
SEPTAL E
Ownership
ef
FEES COLLECTED
I
PRIVATE ❑
SEWER
Public ❑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
Building 7�
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 REOIJIREQMSPECTIONS
Plumbing
APPLICATION �. 1y�
SIGNATURE OF 64
OWNER OR AGENT DATE
—
Mech.
SPECIAL APPROVALS SPACIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health . /
Planning
Fire
Prevent.
Utilities
1� Plansr PERMIT IS NONTRANSFERABLE
Exam. l PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingIN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG. Home
PERMIT NUMBER
'e-.5 io45
Other (Specify) �^
TOTAL $ _75 -
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. p
DATASWED' 5 PERMIT NO. z
*75.00°
TOTAL
CL
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C.3
W
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