1983, 11-10 Permit: 83B-1551 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
STREET ADDRESS
1. B'Ni -qt.( MY.YvVL v
PARCEL NO. Irl 54_1.— 4-zZ
LOT
2.
BLOCK
SUBlIVISION ID'1E5
OWNER
3. Geick Cerstcee/
MirNwFs55Wail'I< ,
CONTACT II_ OB i
IVJGIJ,A
4. AD -SS± Z,I F°NI yk
PHONE
ZIP
LICENSE EXPIRES
- Imo'
,920G
LEGAL DESCRIPTION:1" IG0j or t,/2_
Actual Set Backs in Feet to.
North 'South t% [East I West
Size of Parcel
3%2-;t'o?c I, 0
OcctinaType Y 1Vc cy
Zo eC Ification 2
VitC..
ResidentiaL
Commercial 0
Spr'nklered
Dyes ONo DReg 'd.
DESIGNER
6. ADDRESS
PHONE
New Const. Val tion
Remodeled Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
0 ALT. 0 AD' N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
❑ OTHER
Cover Deck
No. Baths
Gerala(Sge
Greenhouse
e.
Fin. Basement
Deck
No. Floors
No Fin. Rooms
Unfin. Basement
No. Dwellings
Gerbil. of Exempt.
or Variance
Required VesO NoD
Received YesO NoD
Number
8. DESCRIBE W
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
I0CFlo R�
cLECTRIC PUBLIC SC
SE IC
PRIVATE 0 SEWER 0
Shorelines/Flood Hazard
YesD Not Applic;D
Plans Rego red .0
Received 0
Ownership
Public 0 Private
I hereby certify that I have read and examined this appl'cation 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 e provisions of any other state or local jaw regulating construction or the performance
of construction. SEE REV EStDE F41IE%REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS SPECIAL CONDITIONS
PRELIM. FINAL DATE ll�i
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
tfHRELhA '70
APPLICATION +' C
DATE /0 hlou F53
EE REVERSE SIDE FOR NOTICE)
•
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
€313—I55'j
02* *89.00
*89.006
A *000
15388
1.1-10-83
6.479.
Y
d
O
G7
W
J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1111 ilff1 1
DATE15311EO ' �
.Jr‘-.5
PERMITNO.5,'
1 e" * 8 9. O 0 OPAL
RULES: HOMEOWNER: (--I ry C roc, r
(1) Building must be 5' from property line J
(2) Building must be 10' from drain field ADDRESS: Al . 92 I M o ester
(3) Building must be 25' from property line Vika--"c-
if property line is next to a street ' PARCEL No. /SS'f / - /cf-Zz'
(4) Building must be 10' from all existing bldgs. LEGAL: UEr;A 3 / O(o
0
N IIoO ' OF E .
-
32-0
z
ce
/17
goo
vrPve
45' e
5; o
) tOE
7.7)t --t s." E
1001 n
1. Draw in all existing buildings.
2. Draw in new building & how many feet it is from existing buildings and property lines.
3. Name all roads next to property.
4. Draw in drain field and whether you are on a septic tank or sewage system.
l.0'