1983, 05-23 Permit: 83A-4363 Dryer, PipingPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY – DEPARTMENT OF BUILDING & SAFETY
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
5'o% S.
c—Unhot:3
PARCEL NO.
LOT
2.
BLOCK
SUBDIVISION
OWNER
MANED ERLANDS0M
MAILING ADDRESS
so, S . 1.1&dU t. acn
CONTRACTOR
4. SAM -e,
ADDRESS
PHONE
PHONE
53'k -830`1
LEGAL DESCRIPTION:
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to.
North 'South
East
1 West
Size of Parcel - I Zone Classification
Residential 0
Commercial 0
ZIP
Type Const.
Occupancy
Sp nklered
Oyes ONo OReg'd.
5.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg Floor Area
ADDRESS,
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fln. Basement
Unf in. Basement
TYPY NIIEW
7. OF
WORK 0 BLD.
DEStCRI BE WOK T
8. (?� �S .Y
❑ ALT. 0 AD' . 0 RPL. 0 MVE.
0 PLMB. ECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifl. of Exempt
or Variance
Required YesO NoO
Received Ves° No0
Number
VALUATION
9.
iz. F'-1- -ac
URC GAS
SO
OF
UTILITIES
Shorelines/Flood Hazard
Wel Not Applic.0
Plans Required 0
Received 0
LEC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private O
I hereby certify that 1 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 E9U1D INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Pans
Exam.
Building
Tech.
y
APPLICATION 23_ GQ3
DATE d.� / O
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
( 6AS?Ryee-e At->t"251l i?l` .
CO.Oo 1
t (.50
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 $ w ~
PERMIT NUMBER
SA �3(p'-
04* *1ao0
*1 aoo
A *GOO 8
4362
05-23-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE I___ fl2 1'"31
PERMIT 14033'Z *18.0 OTOTAL