1983, 03-25 Permit: 83A-2226 GaragePLAN NUMBER
APPLICATIONY/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
STREETADDRESS PARCEL NO.
1. E. 01-_;+;L-2.ZC�e
LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
VIAAMoa
OWNER PHONE I PHONE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health I
Planning
Prevent.
Utilities
SEPA
Plans 1't+.t `^� PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech.Building �� 1 IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PE I NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQjUE� 5 8 3 PERMI"Z G 6 26
*75.0D*&AL
Y
a
O
V
W
J
LL
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
a. 1 to r7 -C,
R 4 (i
i
North South $ East West Zy
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel Zone
Classification
Residential
4. �.ZYit� s.v w - l+t N +'t
COS �.�.'1 <p
U *X. t S0 1.Commercial
❑
ADDRESS
ZIP
TypenJ. Occupancy
Sprinklered
Ml -1
Dyes ❑No ❑Req'd.
DESIGNER
PHONE
Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
,q►2
8404
ADDRESS
ZIP
Main Floor Upper
Floors ()are
/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
m-.-.
No. Baths
No. Fin. Rooms
No. Dwellings
TYPE NEW ElALT. ❑ AD'N. 1:1RPL. El MVE.
]No.Floors
t
1
7 ❑OTHER
VELD.
Certifi.ofExempt.
Required Yes❑ No
Number
WORK ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
or variance
Received Yes❑ No❑
DESCRIBE WORK
8• ^ �A
Shorelines/ Flood Hazard
Plans Required Of
ra W SI -04!, x �i+�
Yes❑ NotAPPlic. ❑
Received pf
VALUATION
[SOURCE
GAS
ELECTRIC
WATER_/
SEWAG
Ownership
FEES COLLECTED
9
UTILITIES
PRIVATE ❑
SEWER
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
75 `a�o
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
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 a
3 -24--96a
OWNERORAGENT---�����—� DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health I
Planning
Prevent.
Utilities
SEPA
Plans 1't+.t `^� PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech.Building �� 1 IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PE I NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQjUE� 5 8 3 PERMI"Z G 6 26
*75.0D*&AL
Y
a
O
V
W
J
LL
cawwEfz: S. M&LWOE
E. 16.126, LoucqF'E L L 0 W
U m5[_
2 (v
_ 20�
67
-74
57
LEC &L. 9ESGRIPTfo0,
LOT 1, E5LK.2
WELLESl_EY MnNoV- 1ss APDN.
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