1983, 10-06 Permit: 83B-029 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANEt JJASA1NGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
E.
LOSu, Ftioc 'vhpv.>
PARCEL NO.
6544-1 - t (cog
LOT
2. 5
OWNER
3.
4.
5.
BLOCK
Z
SUBDIVISION
111 12 Oft- a o0
Ute, tS
PHONE
4tHONE
—e3s
LEGAL DESCRIPTION:
MAILING ADDRESS
G • 1651(
CONTRACTOR
S AlcVvG
ADDRESS
DESIGNER
tACL.-YY\ SAr—)
ZIP
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to•
North 144e (South [East % I West
Sue of Parcel
k 31c,,
Zone Classification
Residential)
Commercial 0
ZIP
Tys(,
Occupancy
n'1
Spr nklered
DYes ONo 0Req'd.
PHONE
rr�Const. ValuationTT
Oi.Q 6,0
Remodeled Valuation
Tata
Bldg. Floor Area
1,0
ADDRESS
ZIP
Main Flaw
Upper Floors
Gar, Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
TYPE EW 17ALT. 0 AD' N. E RPL. 0 MVE.
7. OF
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
Certifl. of Exempt.
or Variance
Required
Received
8.
SCRIBE WORK
L acx�EO
atz_ACLE
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
W�SL: Ca;c4coo
ELECTRIC
WATER
PUBLIC ❑
PRIVATE
Shorelines/ Flood Haza d
YeeD Not Apollo. 0
Yes No/
Yes ID No0
Plans Requ red Lam/
Received g/
liNo. Dwellings
Unfin`asement
Number
SEWAGE
SEPTIC MMJJ
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl'cation 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 REVERS _ IDE FOR E UI D INSPECTIONS
SIGNATURE OF
OWNER OR AGENT tr
SPECIALAPPROVA S
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
`%
DATE
APPLICATION /�/3
SPEC • L 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)
TOTAL $ Va'_
PERMIT NUMBER
02* *89.00
*89.008
A *000 8
28A
10-CC6-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DAT11A1P.6f28')
PERMIT NO. �` 9Z * S 9` Q 0 �QTAL
Parcel Number -.O5441-1605-3
Legal Description -
Lot 5, Block 2, ILLER FIRST ADDITION, according to plat
recorded in Volume 14 of Plats, Page 8, in Spokane
County, Washington.
Scale =Ya2`I