1983, 07-07 Permit: 83A-6331 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.
2.
3.
4. ADDRESS
i.0 ktQD if i N to
DESIGNER
J. ADDRESS
STREET ADDRESS
N. ?4U
BLOCK
LOT
OWNER
'Rau f- EAO %S
MAILING ADDRESS
1/4/4 . Z8 t N FJ x .? N
CONTRACTOR
e
SUBDIVISION
CO AC- 4 —tai r
E�c,4T
PHONE
`-tea «bma9
PHONE
324.'48
PARCEL NO.
LEGAL DESCRIPTION:
ZIP
g4�•oS"
ll. .
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to:
North 'South L b i [East 3G>.
Size of Parcel
cto><t�o
'West
Zone Classification
2 mak
Residential its'
Commercial ❑
ZIP
Le3 S'
PHONE
ZIP
Type Const.
-3/N
Occupancy
NINConst. Valuation
4( (DOS
Main Floor
Spr'nklered
❑Yes ❑No Req 'd.
Remodeled Valuation
Total Bldg. Floor Area
Upper Floors
Garagerage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE ❑ NEW ❑ ALT. IAD' N.
7. OF BLD.
WORK
❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
DESCRIBE WORK �^
8. A.-�pc, 0 C3 /W2 -(11V.0
(c4),-2_1)
Shorelines/Flood Hazard
Yes❑ NotApplic.
Yes Not]
Yes❑ No❑ //
Plans Requ red ig
Received 4Y
Numb
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE ❑
SEWAGE
SEPTICII
SEWER ❑
Ownership
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
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 prov'-ions of any other state or local law regulating construction or the performance
of construction. SEE -a E „L S • - FOR REQUIRED INSPE u,• NS
SIGNATURE OF
6 APPLICATION 'f /�/r�'
OWNER OR AGENT t /
SPECIAL APPROVALS SPECIAL CONDITIONS: (S REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
NI 4)t
S'y
its
3
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building Cot
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
(_a�a
PERMIT NUMBER
e3 - 33)
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATESSUED" 8 -8 5
PERMIT('!. 5.1 z * 61. 0 n FOIrAL
r
0
0
JOEL ROAD
h
I
/0
/0'
70'
0
8
h
70'
101
/0'
of
O
OWNER: FOUR S£ASoti1S Sod -AR PoAri:5*
W. 2g IND//JJI
SPOKANE , WA. 9920S'