1983, 03-08 Permit: 83A-1604 AdditionPLAN NUMBER AF'F'L 1C+A I IUN / 1-r_t1 11 I
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, -WASHINGTON 99260 / (509) 456-3675
2.. /T
OWNER
3 MAILING
4.
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES -PRESS HARD TO MAKE 3 COPIES
=Ss PARCEL NO.
t,-- >�` �
)CK SUBDIVISION LEGAL DESCRIPTION:
0600 A-06) e
P E • PHONE
I`
N� A tG
___j
P .
Arl—I qat Rarka in Fewt tn-
LICENSE EXPIRES PHONE
ZIP
North 3 South East West
Size otparcel
ZppnneClassiffiica
n
Residential
Commercial ❑
d
�i s ✓ti
'
P =
Typow4t.upancy
U N
5. ADDRESS
Sprinklered
❑Yes El No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5. ADDRESS
ZIP
Main F/l^osor Upper
Floors
Garage I Storage
Greenhouse
V
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement Unfin. Basemi
s.
�
❑ MVE.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ W ❑ ALT. 2 AD' N. ❑ RPL.
7. OF O OTHER
BLD. ElPLMB. ElMECH. ElM.H. ❑POOL
Exempt.
Required
Yes❑ No❑
Number
WORK
o�rVarian
Received
Yes❑ No❑
DESCRIBE WORKX�
SI
Shorelines/ Flood Hazard
Applic. ❑
Plans Required
Received
a
I
Yes❑ Not
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWAGE
Ownership
FEES COLLECTED
9
LI
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
j
Building
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
Plumbing
SIGNATURE OF APPLICATION
Mach.
OWNER OR AGENT✓-� / DATE
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FIN4,L DATE
Env. Health
SEPA
Planning
Modular/
MFG.Home
Fire
Prevent.
Other (Specify)
lities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
ly, I
Buildino I W\ 1 1.2 / I IN 180 DAYS
I�Z'6
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
r�nrvn i �.viv�ua.. r,
PACE,
DATEU9 0 8 5 PERMITLt . 0. 4 0 * 12 6, 0 0 TOO t`4
0
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u
w
N�
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/1p ret,
3d —ocrOR
1
2Ys �{a�,st obi
s �)4v .
9 =
-75 '
Z/$