1983, 09-09 Permit: 83A-8852 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARtM NT 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.
LOT
2. g
OWNER
E. i88t Ackson�
BLOCK SUBDIVISION
7 'D71R4E47.- 120. iNl" u .
PARCEL NO.
OSS52 Ciao
1S T
3 'R4.4 STe.15(Vr,TM
MAILING ADDRESS
C. ISE52C J?GIC SOW
CONTRACTOR
4. Bassio4.o— IAN ittX
ADDRESS
—p. O . -ac.K (cl-(c52
PHONE
PHONE
eta -3 -4 -432 -
LEGAL DESCRIPTION:
ZIP
4C(0 -Z7
LICENSE EXPIRES
PHONE �r�
Actual Set Backs In Feet to:
North 5S ISouth T(7' [East
Size of Parcel
iox 1S2
West 4. /
Residential ET
Commercial 0
Zone Classification
i2.114114
ZIP
6K(214-
Type ; —TN.) V tr
Occupancy
Inn 1
Sp nklered
UYes DNo UReq'd.
DESIGNER
5. ADDRESS
PHONE
tow Cont. Valuation
41P-7—% eao
Remode ed Valuation •
Total Bldg Floor Area
`I130
ZIP
Main Floor
Upper Floors
Garage Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE B7/NEW ❑ ALT. O AD' N.
• 7. OF WORK LW LD. ❑ PLMB. 0 MECH
❑ RPL.
O M.H.
❑ MVE.
o POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi of Exempt.
or Variance
Required Yes❑ No lir
Received VesO No0
Number
DESCRIBE WORK
8.. l Zoic amsr C Ae.ta46
VALUATION I OF
9 UTILITIES
SOURCE
Shorelines/Flood Hazard
VesO Not Apollo. 0
Plans Req 'red
Received d
GAS
ELECTRIC PUBLICRH . SEPTIC W.
PRIVATE 0 SEWER 0
Ownership
Public U 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 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 REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF t APPLICATION') , Q �R�
OWNER OR AGE -��// �� DATE 7 /J
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
Otis
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building 477. ea
Plumbing
Mech.
Plan Check
SEPA
, Modular/
MFG. Home
Other (Specify)
TOTAL $ 41•a)
PERMIT NUMBER
09A_J
02* *47.00
*47.006
A *0.00
881.1 2
09-08-83
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
09=09 178`•3
DATE ISSUED •
PERMIT4J. 5;21 * 4' 7. 0 0 ibeAL
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