1984, 02-08 Permit: 84A-1095 DuplexPLAN NUMBER
82A - 294
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
STREET ADDRESS
1. E. 10909-11 Mission Ave.
PARCEL NO.
09543-1917
LOT
2. 17
BLOCK
2
SUBDIVISION
Mission Ridae First Addition
3.
OWNER
Wel fland. inr
PHONE
928-2592
PHONE
928-2592
LEGAL DESCRIPTION:
Lot 17 Block 2 Mission Ridge First Addition
MAILING ADDRESS
S. 717 Pines Rd.
ZIP
99206
4.
CONTRACTOR
same7/84
LICENSE EXPIRES
PHONE
Actual Set Backs in Feet to:
North 'South .S2 [East // I west
ADDRESS
ZIP
Size of Parcel
Q2 5 x 1 5
Type Cant. Occupancy
Frame
Zone Classification
duplex
/f Viz.
Residential d(
Commercial 0
Spr nklered
OVes ONo DReq'd.
5.
6.
DESIGNER t,
PHONE
New Cont. Valuation
Remodeled Valuation
Tata Bldg. Floor Area
1705
ADDRESS
CHANGE OF USE FROM
ZIP
Main Floor
875
Upper Floors
GarageMage
Greenhouse
TO
Cover Deck
Uncv. Deck
10 X 16540
Fin. Basement
Unlin. Basement
TYPE LXNEW ❑ ALT. 0 AD' N. 0 RPL. ❑ MVE.
7. OF
WORK BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL
❑ OTHER
No. Baths
4
No. Floors
1
No. Fin. Rooms
12
No. Dwellings
2
CertlfI. of Exempt.
or Variance
Required YesD Nab
Received YesO No
Number
DESCRIBE WORK
8. New Construction
VALUATION
9-$72,000.
SOURCE
UTILITIES
One story building duplex
Shorelines/Flood Hazard
Yes0 Not Apollo. 0
Ran Requ red D
Received 0
GAS
MS
ELECTRIC
dern Elec
PUBLICR
CX
• PRIVATE D
SEWA
SEPT11701))
SEWER 0
Ownership
Public 0 Private X1
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 INSP,yj„ ONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVAL
PRELIM. FINAL DATE
Env Health
Planning
J, J.
APPLICATION
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Fire
Prevent.
Engineer
Utilities
y1
SEPA
Plan
Exam.
Building
Tech.
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 $ L/27
PERMIT NUMBER
,A - logs -
O2 *42%00
276
t I d
02* *427.00
*427.006
A *000 8
23058
12-06-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISBECOMES
$A(. /PERMIT.
0.4
DATElnnS2Efl,��l V t- V `f
f
PERMITINd. i• z * Y'2 7. 0 CI COiAL
•
9.D.5•
/0'X/6 '
DzcK
Fill;SNED
FLoo2.
25'
E✓sky
bor 1 51D ES
/ono c/4L
SLOPE
1
1
tOQtJ \
ozovrlD
/ 01)1/6'
DEcK
3s'
gs
y. GopPCP
W ATEe LIPIC
1 7D'
yQourllb
/0
y9'
aH'
11/4
S. /0909-// . MISS/o/
L07 /7 LOCK 2, M/SS/0 dJZ/Dry' F/xsr ,gDD,r,oA/
AAs /C /1/4.5 DdP! EX
ALTc6NATs ;9"