1983, 09-22 Permit: 83A-9493 Siding, Soffit, FasciaPLAN NUMBER
APPLIdATION/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
1.
PARCEL NQ.
LOT
2.
BLOCK
SUBDIVISION
3:
4.
5.
6.
OWNERq
Tr:v., /i (Mal_
MAI ING ADDRESS
..5', 4/5 l v tt,t
cn 1 -par- ,&oh{un dont.he.
A RESS 1 aArinu,£Opct
DESIGNER
ADDRESS
P ONE -
.?4r- 0Z ,2 7Z
PHONE
LEGAL DESCRIPTION:
7-2-54i— I rirs
u5//4/74-5
PHONE
Actual Set Backs In Feet to:
North (South [East I West
Size of Parcel 1 ZoneClassification
Residential 0
Commercial 0
ZIP
99.2i.z.
Type Const.
Occupancy
Spr nklered
❑Yes DNo OReq'd.
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE 0 NEW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
WORK
'OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Gerbil. of Exempt.
or Variance
Required VesO No0
Received YesD No0
Number
DE RIBS WORK
8. i a, ,h/ t f / .lda�/J�, ti
SOURCE? GAS r' I
UTILITIES
ALUATIOOO
9./3l<
ELECTRIC
Shorelines/Flood Hazard
Yes❑ Not Aeolic. 0
Plans Requ red 0
Received 0
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that I have read and examined this appl cation and have read the "NOTICE" provlslons included on
reverse side, and know the same to be true and correct. All provlslons 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 INSPECT' • NS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
APPLICATION 9,/ Z/p BOJ
DATE !
SPECIAL CONDIT ONS: (S E 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)
(n/ -
00
TOTAL $ 'i
PERMIT NUMBER
747'
02* *61.00
*61.006
A *0.00
949.2
09-26-83
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0i-2 ='-3
DATE ISSUED
949,3' *6L00°-.
PERMIT NO. TOTAL