1983, 10-12 Permit: 83B-0349 GaragePLAN NUMBER AFt L I1L:A 1 IUN / VLKIVI 1
SPOKANE COUNTY — DEPARTMENT,,OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
SPECIAL APPROVALS I SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health %Q
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plana 'VIA
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
PERMIT NUMBER
83,6 o3
MFG.Home I >.
tZ
O
Other (Specify) c.1)
W
J
TOTAL $ '=l
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ll 11 p 3 n d
DATElS�UED1 — 8 PERMIT NO. 4 7
* 5 4 0 0 TOTAL
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Type Occupancy
STREETADDRESS
Sprinklered
PARCEL NO.
�Const.
17,
_ (
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
NeV
AlConst. Valuation
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
�-7
tam
-Q-c�=cJ►aB �tL�
�¢.«i�•--c"'
OWNER
PHONE
PHONE
3.
t
LA
ZIP
Main Floor Upper
Q7A--€'� _
,
Greenhouse
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
CHANGE OF USE FROM
TO
Lt, vVm-_m%c w_
Uncv. Deck
gcko-3
Unfin. Basement
North South East West
�S
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residentia
4.
►'111
TYPE.
EW ❑ ALT. El AD' N. ❑ RPL. El MVE.
\ fyie-M
I
I Commercial ❑
SPECIAL APPROVALS I SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health %Q
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plana 'VIA
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
PERMIT NUMBER
83,6 o3
MFG.Home I >.
tZ
O
Other (Specify) c.1)
W
J
TOTAL $ '=l
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ll 11 p 3 n d
DATElS�UED1 — 8 PERMIT NO. 4 7
* 5 4 0 0 TOTAL
ADDRESS
ZIP
Type Occupancy
Sprinklered
�Const.
17,
_ (
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
NeV
AlConst. Valuation
Remodeled Valuation
Total Bldg. Floor Area
' 4-32
1 S 7z
5
ADDRESS
ZIP
Main Floor Upper
Floors IGaragelStorage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE.
EW ❑ ALT. El AD' N. ❑ RPL. El MVE.
7.
OF ❑OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
�ifi.ofExempt.
Required
Yes❑ N
Number
or Variance
Received
Yes❑ No❑
8•
DESCRIBE WORK\
'�
Shorelines/Flood Hazard
Plans Required ❑
--Z. n0 war, k-;' �!
� 4c
Yes Not Applic. El
Received ❑
VALUATION
CE
SOOF
GAS
ELECTRIC
TE
PUBLIC WATER
E/
SEPTIC Cg
1
hip
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private ❑
1 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
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 canche rovisions of any other state or local law regulating construction or the performance
,91
of construction. SEER RS SIVE F RE UIRED INSPECTIONS
Plumbing
SIGNATURE OF >> APPLICATION
OWNFR OR Ar.FNT IJ j ®. �_ DATE /� L
Mach.
SPECIAL APPROVALS I SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health %Q
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plana 'VIA
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
PERMIT NUMBER
83,6 o3
MFG.Home I >.
tZ
O
Other (Specify) c.1)
W
J
TOTAL $ '=l
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
ll 11 p 3 n d
DATElS�UED1 — 8 PERMIT NO. 4 7
* 5 4 0 0 TOTAL
i
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