1983, 11-16 Permit: 83B1838 ResidencePLAN NUMBER
APPLICA1 N/PERMIT
SPDXANE COUNTY — DEPe `ENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKP. SHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS/
1-k
KAHUNA DRIVE.
PARCEL NO.
? 35 — lice%
,
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2•
1
WAIJ[04A14ILLS 1,31 A
OWNER PHONE
PHONE
(
,
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
t1
"c' c 5
c 20L�
North 110,South East 3o' West
3 6 r
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential B�
Ky U '
` 2 - Z'7/ (�
70' X 14o'
Commercial El
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinkl ed
I1 -277-0E NCO
s a I Tr_ I c
V_N
❑Yes ❑No
❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
E.5' AL-L/
AWE
c(" -7
1 ; c 6
3344
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/ torage
Greenhouse
N idly- PIN
x21
2_�4/ a
— I
,C -1Z I
--
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
1
---
1 5:30.
2 �_ z
OFPE IIEW
1:1 ALT. 1:1 AD' N. 11 RPL. ❑ MVE.
No. Baths
3
No. Floors
No. Fin. Rooms
No. Dwellings
7.
❑ OTHER
WORK 0-61-D. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi. of Exempt. Required Yes 11 No[] Number
or Variance Received Yes Ll No❑
DE CRIBE WORK Shorelines/ Flood Hazard Plans Required ❑
a. "_ l"pEJ� C--iAIZXF, AigD DEc;k.,$ " ct f_Yes El Not Applic. LlReceived ❑
VALUATION OOFCE GAS ELECTRIC pU8 IC ❑ SEWAGESEPTIC ❑� Ownership FEES COLLECTED
9 UTILITIES PRIVATE ❑ SEWER 4y Public ❑ Private ❑
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on z 0C.
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 REQUI ED INSPECTIONS Plumbing
SIGNATURE OF/�q'e_11WA_
APPLICATION %�
OWNER OR AGENT C�(_.1� �� DATE ---1I 11 Mech.
SPECIAL APPROVALS
PRELIM. FINAL D
Env. Health f
A I
Planning
Engineer �t
A
Utilities
Plans H/
Exam.
Building
Tech.
SPECIAL CON6tf IONS: (SEE REVERSE SIDE FOR NOTICE)
' Rl u,."
Mkjo
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBE2RFW �
..SCJ
r C�
TOTAL $ 5L
WHEN MACHINE VALIDATED IN THIS SPACE,
THISBECOMESA PaERMIT.
DATEISSUEDL 8 — / PERMITTI9. z * 5 3 8. +OPAL
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