1983, 02-25 Permit: 83A-1333 GaragePLAN NUMBER-
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STRE ADDRESS
1. fit' [
LOT
2.
BLOCK
SUBDIVISION
3. G l I V R
MING ADD;y, N tCAV
-(171
PHONE
PARCEL NO.
C7-74-13 0e) -7--d
LEGAL DESCRIPTION: 1 ,f 2.3 4
4.
5.
CON
ADDRESS
5- Ih Ich P%rl'
DESIGNER
LICENSE EXPIRES
`772-01,a
PHONE
720
ZIP
47:72--0
PHONE
Actual Set Backs in Feet to:
North 'South -79 [East I West 5'
ne CIfica bon
"sin:17,0
TYPe_ 9onjt. Occupajcy
New Const. Valuation Remodeled Valuation
C20 0
Residential
Commercial 0
Spr nklered
OYes ❑No OReq'd
Total
Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
og0
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
7.
TYPE ❑ N.EW ❑ ALT. /AD' N.
OF U_ BBLD.
WORK
8.
DES
O
D RPL.
0 PLMB. 0 MECH. 0 M.H.
9.
VALUATI(;[1
SOURCE
F
UTILITIES
0 MVE.
❑ POOL 0 OTHER
6 CZj
tr ELECTRIC WATEf/
PUBLIC 0
PRIVATE 0
No. Battu
No. Floors
No. Fin. Rooms
No. Dwellings
Cartai. of Exempt.
cc Variance
Shorelines/ Flood Hazard
Yes❑ Not Apollo. 0
Required Yes❑ No❑
Number
Received Yes❑ No❑ /
Requ red 9'/
Revel ed Y
Plans
SEWAGE
SEPTIC 0
SEWER 0
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 _i4 ate- / DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Flre
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
Z/zr
SPECIAL CONDI IONS: (SE • R' VERSE SIDE FOR NOTICE)
Geld L c, `l 22-3- oI t"f o0A`*Z36 Ni 6T )
rrici5likic L-oNt3 4 Etrii deo
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mach
Plan Check
SEPA
Modular/
MFG Home
Other (Specify)
TOTAL $
PERMIT NUMBER
02* *54.00
*54.008
A *0.00
13322
b2-25-83
6479.
d
O
V
W
—J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATMh UEt2l 5 813
PERMIT}IC 3. 3'z
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