1983, 07-08 Permit: 83A-6310 GaragePLAN NUMBER I AF'F'IL R;A I IfJN / VILKM 1 1
SPOKANE COUNTY - DEPART MERIT OF BUILDING & SAFETY
0 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
',__-APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 STRWADDRE S PARCEL NO. O
-, i
2 LO BL CK su D(vl LEGAL DESCRIPTION:
OWNERA Al. s PHONE _ _ PHONE
cit - i
Nor
MAOING �4ESSh Actual Set Backs in Fruth I East I West
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health T
Planning
Fire
Prevent.
Engineer
Utilities
Plans
Exam.
Building
Tech.
SPECIA
NDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ = _
PERMIT NUMBEH JJ
A — 4'/�t Q
WHEN MACHINE VALIDATED IN THIS SPAC
THIS BECOMES A PERMIT.
o��...0
DATE ISSUED PERMIT NO.
*61.00°'
TOTAL
CL
O
C.3
W
_I
LL
CONT CT
LICENSE EXPIRES
PHONE
Size of Parcel
:12-4 x '07OF5-Commercial
Z
e Class i ' ion
Residential.1!1'
❑
4.
-
ADDRESS
ZIP
Type Co sta Occupancy
N
M (
Sprinklered
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Coest. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor
per Floors
Garage/Wt 2r E
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No�11s_ No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE 11 NEW El ALT. 0 AD' N. El RPL. El MVE.
7.
OF ❑ OTHER
'�' Q . El. ❑ . ❑ H. ❑
WORK LDPLMBMECH. M.HPOOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DES IB RK
Shorelines/ Flood Hazard
Plans Required
8.
Yes[] Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
WATER
PUBLIC
SEWAGE/
SEPTIC E�
Ownership
FEES COLLECTED
9•
UTILLIITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private
1 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 tU r
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
PlumbingPlumbing
SIGNATURE OF (� ._ _
OWNER OR AGENT 1 � � i '� �V1ti.l ./� ) DATECATION
Mech.
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health T
Planning
Fire
Prevent.
Engineer
Utilities
Plans
Exam.
Building
Tech.
SPECIA
NDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ = _
PERMIT NUMBEH JJ
A — 4'/�t Q
WHEN MACHINE VALIDATED IN THIS SPAC
THIS BECOMES A PERMIT.
o��...0
DATE ISSUED PERMIT NO.
*61.00°'
TOTAL
CL
O
C.3
W
_I
LL
e -
I
a
t