1984, 03-28 Permit: 84A-2646 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DgPARtMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
t a - r
2.
L07
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K I SUBDVISI ION c1 FFI ^may,
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MA_ ILING ADrrj)JJBES�, _ L4 d 4
4.
5.
6.
CONT
PHONE
0
PARCEL NO. I &"'� x24-37
LEGAL DESCRIPTION:
LICENSE EXPIRES
P viz
ONE
Actual Set Bafkal!ir( feet to:
North �' — (, South
`East I West
Size of Parcel
Zon9 Classification
Residential
Commercial D
ADDRESS
DESIGNER
ZIP
PHONE
Type CoAst.
"✓ Neeffearist n
_
Spr nkiered
Otos ONo OReq'd.
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
CHANGE OF USE FROM
TO
ZIP
Cover Deck
Upg Floor
Uncv. Deck
Garage/ for el
Fin. Basement
Greenhouse
Unfin. Basement
TYPE ❑ EW 0 ALT. ,E3 AD'N. 0 RPL. 0 MVE.
7. OF
WORK rieBLD. 0 PLMB. ❑ MECH. 0 M.H. ❑ POOL
8. K
DESC/�l¢ R b J'-I'�.J �J 6 ^9 Y1aJ
0 OTHER
No. Baths
Certifl. of Exempt.
or Variance
No. Floors
Shorelines/Flood Hazard
YesD Not Applic. 0
No. Fln. Rooms
Required Veen No❑
Received Yea❑ NoD
No. Dwellings
Plans Requ red. /
Received
9.
VALUATION SOURCE
UTILITIES
GAS
ELECTRIC
PUBLICR
er-
PRIVATE 0
SEWAGE/
SEPTIC
SEWER 0
Ownership
Public 0 Private H
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 REQUIRED INSPECTIONS
SIGNATURE OF D
OWNER OR AGENT fX
APPLICATION
DATE 3 -a? -8"V
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
�-Y
2A.
347
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 $
PE M T UMBER
02* 'i.12000
!i120006
A *0.00
26458
03'=28-84
2 6479
0.
O
V
W
J
U -
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
• 0'''3='2,8.—rt II 8i`4 26'46'51 *120.00a_I
DATE ISSUED I PERMIT NO. TOPAL