1983, 03-25 Permit: 83A-2235 Enclose DeckPLAN 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
STREET ADDRESS PARCEL NO.
1
N. (0 M 0C) eje 1 zesl,-5 --- 170 4
LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2. A- 1 -G-tr"
PHONE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE ' rn lg i,N 1%C'L A() 0 y T k->!'4 t.A5 i V'4 G. 6k %-j i ( ry C,
Env. Health
ct- G c aE -C 41`�Z .00s
Planning
1' 14—
Prevent.
Engineer
Utilities
SEPA
Plans t PERMIT IS NONTRANSFERABLE
Exa' a PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER
TOTAL $ C.I •0Z) I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE fSs`uED _ PERMIT 202 3' 5 z * 61. 0 00 L
u
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to: ISx [m?Ti
N .
61q
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Si?SX
Zone Classification
Residential
i�
4.
ADDRESS
ZIP
Tsat. Occupanc
Sprinklered
❑Req'd.
2
Dyes ❑No
DESIGNER
PHONE
Valuation
Remodeled Valuation
Total Bldg. Floor Area
"Const.
"
1 COE)
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
-----
TYPE
Baths No.
i_-�--
Floors
No. Fin. Rooms
No. Dwellings
❑ EW I/ALT. ❑AWN. ❑ RPL. ❑ MVE.
(
lI
7. OF ❑OTHER
QLD. El PLMB. El MECH. E] M.H. ❑POOL
�ifi.ofExempt.
Required Yes No
Number
WORK
or Variance
Received Yes❑ No❑
DESCRIBE WORK
8• `
Shorelines/ Flood Hazard
Plans Required OV
E&)4r1L 5S -e1_
Yes Not Applic. ❑
Received
VALUATION
I SOURCE
GAS
ELECTRIC
I WATE
PUBLIC
SEWAG
SEPTIC
Ownership
FEES COLLECTED
9
LI
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private
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-
Building
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
Plumbing
SIGNATURE OF — APPLICATION/
OWNFR OR ArFN L�-�DATE �L> _
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE ' rn lg i,N 1%C'L A() 0 y T k->!'4 t.A5 i V'4 G. 6k %-j i ( ry C,
Env. Health
ct- G c aE -C 41`�Z .00s
Planning
1' 14—
Prevent.
Engineer
Utilities
SEPA
Plans t PERMIT IS NONTRANSFERABLE
Exa' a PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER
TOTAL $ C.I •0Z) I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE fSs`uED _ PERMIT 202 3' 5 z * 61. 0 00 L
u