1983, 06-24 Permit: 83A-5733 GaragePLAN NUMBER
APPLICATION/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.
STREET ADDRESS
5 -tiJ1.tlA9c1J
PARCEL NO. 03 r_4 I
LOT"
2.
BLOCK
SE.
VlSIO M 0
l 1
3.
4.
5.
OWNER
mid J. j LVA
9-071-1
PHONE
LEGAL DESCRIPTION:
MtNG- I AICDDRESS _ I
oI� ��J
CONTRACTOR
c'oo
ADORE
DESIGNER
2 I30>c 5Q)13
LICENSE EXPIRES
4)72-00
FA -657
ZIP
930.7
PHONE
Actual SetBacksin Feet to•
North vl� jSouth {East 22-- I west
si=e87Pbr`x it
TypsgoCs).
Occupancy
n
New Cons(�V.lua ion
Zone Clavi kation
17-410
RmldentiaLB'
Commercial 0
Spr nklered
DYes DNo DReq •d.
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Sto age
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE L/NEW 0 ALT. 0 AD' N. ❑ RPL. 0 MVE.
7.WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑.POOL O OTHER
8.
DESE5Ie 1 "r �- I i( g¢� ork002_
E I
SEWAGE/
9.SEPTIC
SEWER 0
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVAT 0
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ Not:
Number
Shorelines/Flood Hazard
VesC Not Apollo. 0
Flans Requ red O
Received 0
Ownership
Public 0 Private 0
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 compiled 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 REV ' - = S r E FOR REQUIRED INSPECTIONS
SIGNATURE OF /
OWNER OR AGENT
APPLICATION
DATE -0.2 3 - S'
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
(l
Uhl nes
SEPA
Plans
Exam.
Building
Tech.
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 $C1
PERMIT NUMBER
?3A 5`l
02* *54.00
*54,006
A *0.00 •8
5705
06-23-83
.2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
{SUE 1.2 47;Vol' .
DATE 4s;8�'3
6
ff, ']] i
4 't
PERMITf1d. •: Z
*5400><AL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS. WA 99027
(509) 924-1557
46 an 1'
JOB k%Ott �Gv�Js Az; -i, r^%�
SHEET NO ✓ - 0// Ig7 JAC K//�� OF S KNNF
^-•• 4Er 4/,Ig64RKCEDATE
CALCULATED BY
CHECKED BY DATE
SCALE kr: -
FHiq f'KEs ;Sub .L-7 3)
'.Rce 6
0 ?sill -20o7-
omH
70'