1983, 12-20 Permit: 83B-2677 AdditionPLAN NUMBER
53 -133
APPLICATION/PERMIT
SPOIKA ' COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGT(6N 9928b / (509) 456-3875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.STREET ADDRESS '�/��I'��� 1
UBD VIl giON I ra\J I[/ I Jer6
2.
3.
LOT
ovy
MAI
BL2-
PARCEL NO.
Ia 544--
11
G AD&D17 t.2 NIA, r
I AINJ
CONwPACTOJR cetscif
4. ADP E SL I 1 rL+
DESIGNER
5.
6.
P ON
PHONE
ZIP
LEGAL DESCRIPTION: , I 5 Q I Lo- .?
Actual Set Backs in Feet to:
North South
East)
West
LICENSE EXPIRES
P.t4N OILr-/
HONE
Sized ccell �1 0 Vlasaln I;
Rmide
Commerciale0
Commercial
clal 0
Type dols, t.l
New Const. Valuation
20 z>? 3
Spr nklered
Oyes 0No OReq'd.
Remodeled Valuation
Total Bldg Floor Area
ADDRESS
CHANGE OF USE FROM
TO
ZIP
Mab
Cover Deck
Uncv. Deck
Garage/Storage
Fin. Basement
Greenhouse
Unfin. Basement
7.
TYPE 0 NEW ALT. 0 AD' N. 0 RPL. 0 MVE.
OFLD. 0 PLMB. D MECH. 0 M.H. 0 POOL
WORK
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certdi. of Exempt.
or Variance
Required YesO No0
Received Yes0 N0
8. DE{Z' oe5mkt 1.1
)ON
1 )
VALUATION
9.
SOURCE
UTILITIES
Shorelines/Flood Hazard
VesD Not Apollc.0
Number
0
Plans Requ redaV
Received
ELECTRIC
IC
WATER
PUBLICS'
PRIVATE 0
SEWAGE
SEPTI
SEWER 0
Ownership
Public 0 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 R OUIRED INSPECTIONS
SIGNATURE OF Q.( APPLICATIO
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
cutt DATE
SPECIAL C DITION$: (SEE REVERSE SIDE FOR NOTICE)
9g a
5/0/53
GC,1•'I1'IA Dile( i c+ 2►yJ6)
1 3AGt�—
f tt 44/41604-5110/-_
-liLA a .-d .i1-L,ccr..A�c X-'
1.655 444 Nit I 1.1
4/96 3
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
e 2617
02* *16200
*16200
*162006
A *Q00 8
39462
05-11-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
h.
DATd.iaUEi — 8'3 TOTAL
PERMI7,N 7,72 *,162000.
/,t
v Gf 5EVIALiE. .
' 915 rOSAL
1
Saab. I� 2.oi-011