1983, 07-15 Permit: 83A-6572 Covered DeckPLAN NUMBER APPLIICATION /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
1 STR ET 0& 0
bi2 cysio PARCELNO. I-7
2 I_qT
BLOCK SUBDIVI ION LEGAL DESCRIPTION:
oweR V IK� G l Pv i'i� J7� PHONE
3. MAILING JD�RgS
Actual Set Backs in Feet to mouth East West
CONTR CT R�
LICENSE EXPIRES
PHONE
Q.Zegvl Parcely
Q .7
Zne 3 ifi tion
Residentiair
Commercial ❑
4.
r-1,
ADDRESS
ZIP
Ty Tist.
u ncyDyesSpr❑Norte
❑Req'd.
DESIGNER
PHONE
NewCw? Valuation
Remodeled Valuation
Total Bldg. Floor Area
CG/L ;_7 —
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
`-
TYPE
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
❑ NEW & ALT. ❑ AWN. ❑ RPL. ❑ MVE.
7. OF ❑OTHERIfi
WORK QLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes ❑ No ❑
8 DESC`RIIBB,E, WOR
��
Shorelines/ Flood Hazard
Plans Required
LC/v
Yes❑ Not Appiic. ❑
Received
VALUATION
SOURCE
GAS
ELECTRIC
PUB ICR
SEPTIC E
Ownership
FEES COLLECTED
y
UTILITIES
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
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 R VERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF ° APPLICATION
OWNER OR AGENT _ r DATE _�
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health j
Planning
Prevent.
Engineer
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Tech.
Plan Check
SEPA
Modular/
MFG.Home
PERMIT UMBER
-, ® ��?
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07 -15 -8 3 657,2'
DATE ISSUED PERMIT NO.
*20,00°
TOTAL
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r o o mn u p t a I rs
P -p- �sa �r s I i a lvin�r, room. 2 b
Wailty FaIr, Helress F -ad. 4�8,00/.pa(l lalcl
to
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