1983, 09-06 Permit: 83A-8630 PoolPLAN NUMBER I APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENTOF BUILDING & SAFETY
- NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
�-� APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
1 ST EETADDRE S L. PARCEL NO.
44
2. LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
WNE
OPr-)OR --r 11art 11 PHONE
3.
SPECIAL APPROVALS SPEC
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Utilities
SEPA
Plans
Exam.
Building
Tech.
DITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
PERMIT NU�EYJJP..)
C1 '
Other (Specify) Zr?_
T1
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*25,00°�'-
TOTAL
a
0
C.3
W
J
LL
M ILING DDRESS
Actual Set Backs in Feet to:
r
1 F
North South East West
co �"ACyyDoR
-
LICENSE EXPIRES
N
Size
Size r I Zone
CI 'ficat'on
Residential ❑
4.
y
x [OL)
Commercial ❑
ADDRE
Type
Occu ncy
Sprinklered
;HdNtEo
❑Yes ❑No ❑Req'd.
DESIGNER
New Const. Valuation
__j
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
TYPE NEW ❑ALT. ❑ AD' N. ❑RPL.
❑ MyE.
No. Baths No.
Floors :IN..
Fin. Rooms
No. Dwellings
7.
OF
❑OTHER
WORK ❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H.
POOL
Certifi. of Exempt.
Required Yes❑ No❑
Number
or Variance
Received Yes❑ No❑
8
DESC BE +QRK' A I, I
I
Shorelines/ Flood Hazard
Flans Required ❑
Ir`
Yes❑ Not Applic. ❑
Received ❑
9
VALUATI N
SOOURCE
GAS
ELECTRIC
P ATEBLICR -
/
SEEPWAG �f
Ownership
FEES COLLECTED
UTILITIES
PRIVATE 1-1SEWER
ElPublic
❑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 REVERSE SIDE FOR QUIRED INSPECTIONS
Plumbing
SIGNATURE OF
2A
APPLICATION
OWNER OR AGENT
DATE l/
Mech.
SPECIAL APPROVALS SPEC
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Utilities
SEPA
Plans
Exam.
Building
Tech.
DITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
PERMIT NU�EYJJP..)
C1 '
Other (Specify) Zr?_
T1
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO.
*25,00°�'-
TOTAL
a
0
C.3
W
J
LL
SPOKANE COUNTY BUILDING CODE DEPARTMENT RESIDENTIAL _ NUMBER TN 4003
811 N. Jefferson, Spokane, Washington 99201 J Land Use Or Structure Permit Property Address.... N --471-3._ Lilliaq__Road...............................
Group.. I-------Type.....v-.---.-Zone....-SFR REPLACES Residence,; Rarage attached I I •x17 -
finished bedroom, in. �asraz.t.
Owner ----- Onca►r --- Winger -------------------------------------------------- Address ..... g- 46-I.7---Joseph..---------------94207-_---------Phone--•--4.89j9284-----
ArchjEng................................•-......-------------•--------------------------.Address--•-•-••-•----•••••-----.......--------------------•---------------------_---_Phone..............................
Contractor ----------- Same .......................................................... Address ------------------------------------- Phone --•------•Same-.........
Location: Roadway RAW Width ..... 6E)!........ Parcel ---- Pt-..of.=..... {1-I-54-4-9004----Lot--- }3-j --- Black- Z-j -Pep-1inski... $1
ISIRID,=--3ET8 XS-:------ ft"t--- y+ardf--5S I... froa+ --- ell --- -P--rlw--or... 2S-'--- fee�a p/l i--•wh4clrevev--I-s----------------
-------------- Brea-tex.----- Flmnking--- atrae-ta--sre--45 - ... fro%--e-A... of... r-/w--or---'15- -... feot* p/1 whichever is Sre$t
Side---garde---"e- ...V---far --- ach---st*r-y --- aud re sr ratrds are.-e..mfse;... af--- 251... from••p/t;----------------------------
-------------- A--Otl18--i CWR--RA790--FIR-B--WALL --SEPARATION... 6---ltIW
a IBS�}:-8E-'£�Ei�--�i(3i1£E--- AFD--CnkEil�f� �----------------------------
Bldg. Zone. I -Fire Zane 3 Size of Lot jOd'x140' - _------- -- .Sewage--------ST----------------Const.-----FTacae---------------.......
s I
m Stories----s,(e-Dimensions.--_-141* I7 1Total Sq. Ft.-.. tog�... -..Valuation...
$65-i-394-4-00 -------
Rms....-.--6.Baths/RR-----2,_--...Basement-.part...Foundation-.--eoacr-ete-----Chimney.lint-...FireplacelAt-..Htg.. System ----- gl-ect-.---FA--------
EType of Roofing-- ---- comp ----- --------_------------Ext. Finish -------------------_--T-ill........... Int. Wall Finish----... Dlryva-ll....................... Bdrms.... 3.......
Certificate of Occupancy Issued for ---- MaKE--DZT=T0 iS-,_XRpTIX.-A,Np-.-pLUMgIAO--P RXI£S--ARZ--IIWIR-90-----------------------
Remarks --- ------------ EACH_ STAGE. .AF..COUSTRUCTION --- MUST --- UAVX--IX%F&CTIORS--EALL9D-TOR- --AS---R8QUjRE0--ay- -GDE,r
.............. 1M..ST-..M?rFORM-.T0..AIX-- COUNTY- .-CODE..BEQU-LREWTUS-.----- A --- FINAL--INS ?TION --- MUST--BE... )44F3P--PRI"--T
-------------- THE-.USP..-4P--- %ISS-_ PIIOJECY-•-----CALL-A..DAY-.'-IN--AQVANC.E---FU--ALL---Itt4SPbCT-IDl; S--AT--45-16-36-75r----------------..
------------------------------••---------------------•------------------------------.....------------•------------------•--------------.....-----------............••-••-•-----•--•--------.....------•---•-•--•-•---------•-••-----.
----------------------------- ----------------------•-------------------.............----------.....---------------...--------..........----- ------.........-----•----•-•----••-••--•••----------•........-•••--••------••••-•-------
/� THIS PERMIT Is granted upon the express condition that the building or land use for which the permit is Issued, shall conform in all respects to all the ordinances of the County of
Spokane. regulating the construction, use and octu panty of buildings in Spokane County, and may be revoked at any time upon the violation of any of the provisions of said ordinances, or
failure of plans as approved, to comply with said ordinances.
In consideratto. of the Issuance of the permit for the erection of signs the grantee must place the said signs where directed by County Officials and shall remove the said sign at the
expiration of the permit unless regularly renewed. Iear
This permit will be good only for commencement of work within six months, and the entire completion thereof within........?..........
from this date; after which time this permit will be void. Authorized by Building Official BUILDING CODE DEPARTMENT
Permit Expires ------- .Irauie..23+---LQflO.......... BY > t. .... G � INSPECTOR
78.00 pkb 6-29-79
Fee Paid $................................... Date Issued .....................................
A kk