1984, 03-20 Permit: 84A-2424 DemoPLAN 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
1.
STREET ADDRESS
SUI
S . t"ncKIONOI'4
PARCEL NO.L. s. ITT SS3) ._ l'43,4
LOT
2: .i/L.
BLOCK
S?.1.2:eBDirt2111 LI(JLes,'9PjVQ'
OWNER
3. �✓1'rif✓ wg1ag
MAILING ADDRESSCsV, f -K
PHONE
PHONE
-0700
LEGAL DESCRIPTION:
Z -I -f -I/
Actual Set Backs In Feet to:
North' (South (East I West
4.
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel 1 Zone Classification
Residential 0
Commercial 0
ADDRESS
ZIP
Type Const
Occupancy
Spr nklered
❑Yes DNo CReq'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
Fin. Basement
Unf in. Basement
TYPE i, -;.D NEW 0 ALT. 0 AD' N. C RPL.
7. OF
0 BLD. ❑ PLMB. 0 MECH. 0 M.H.
WORK
8.
DESCF€E WORK
❑ MVE.
0 POOL
O.OTH ER
No. Baths
No. Floors
No. Fin. Rooms
No Dwellings
Certif I. of Exempt.
or Variance
Required YesO No0
Received Yes D No0
Number
t6)$G PgrAourtiot #
Shorelines/Flood Haza d
Yes O Not Applic. 0
Plans Requ'red 0
Received 0
VALUATION
9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC 0
SEWER 0
Ownership
Public 0 Private 0
I hereby certify that 1 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
OWNER
OF 1- c APPLICATION —? _.0 6_
OWNER OR AGENT42:2-e/.4,w .%.ate¢. DATE ay
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Are
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
3/A
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
logo 9,F.
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)ag-
ZOs ki
-Prae
TOTAL $
PERMIT NUMBER
P4Ar— 2424
C.
02* *2000
24232
03-20-84
g 6479.
1
0-
0-
0 0
V
W
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.• 4.0-
2; 0-6e
03 '4 2.24
DATE ISSUED PERM(
z *20.00AL