1983, 11-10 Permit: 83B-1535 GaragePLAN NUMBER
APPLICATION/PERMIT ,
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3875
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
rV •
PARCEL NO.
\64544- t -n¢
LOT
2.
BLOCK
SUBDIVISION
3.
OWNER
W, i2. 3Yin. 'l
PHONE
PHONE
GLA--64S-
LEGAL DESCRIPTION: W, 10c,' p r N k 124.>5t
eUL t an
MAILING ADDRESS
0.�-�ox A.4eB4
ZIP
g42i9-
Actual Set Backs In Feet to
North ISouth -LSI
4.
CONTRACTOR
S.A Y14•6
LICENSE EXPIRES
PHONE
Size of Parcel
t6o x 12.4\
111 East
Zone Classification
West
-3C5
Residential LAS
Commercial C
ADDRESS
SOrne
ZIP
Type Const.
�h1
Occupancy
NI—
Spr nklered
❑Yes CNo
C Req' d.
5.
DESIGNER
PHONE
New Const. Valuation
fo1Gta
Remodeled Valuation
Tota
Bloor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin Basement
Unfin. Basement
TYPE
7. OF
WORK
EW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
NO. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
l
Califl. of Exempt
or Variance
Required YesD Nog),
Received Vest No
Num r
DESCRIBE WORK
8. bE'f iCH'a c�
VALUATION
9.
SOURCE
OF
UTILITIES
CIi12WCoe- WI5t.AAPS(7ttv3"1)
SEWAG,
SEPTIC
SEWER 0
GAS
ELECTRIC
WATER/
PUBLIC
PRIVATE 0
Shorelines/Flood Haza d
Yes Not Apollo. 0
Pans Required
Received
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 the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF . -./, //> APPLICATION
OWNER OR AGENT i �`K�G�-."riL - DATE 1 3 �
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTIC )
Env. Health
PRELIM. Si NAL DATE
Planning
Flre
Prevent.
Engineer
Utilities
SEPA
Pans
Exam.
Building
Tech.
tb�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)
7.c.
TOTAL $
PERMIT NUMBER
838 /535
02* *7500
*75006
A *GOO 8
152,72
11-10-83
2 6479.
)-
0 -
WHEN
d
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
i w..Or 84.'
DATE IdSSE31 - 3'
153.5= *75,0Q
PERMIT NO. TOTAL
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3
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NOIASt
4,40V e'rzvq
F‘a r
PRoros en
3 -A
it 24
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W r ,o�' 0 F Vogni / 4, fir
OF Stock' -127 VE -12k