1983, 08-08 Permit: 83A-7480 GaragePLAN 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
STREETADDRESS PARCEL NO.
t___ - -3I r rJ I 0tl 'j 1-7 r 4--� — 1-"7-0%
2 LOT BLOCK SUBDIVISION �u r I LEGAL DESCRIPTION:
`` ! v
OW ER PHONE PHONE
3.
MAILING R S(
IG d�North
_ `
ZIP ��
Actual SetBacks in Feet to:
South East
West
CO
LICENSE EXPIRES
Sizepfrl
e
aG
merc l ❑
Com
4.
Aj
A ESS
^--r
Ty
O
a[cy
Sprlr�
LA
❑No❑Req'd.
DESIGNE
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
'�
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/ orae
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE 1:1 ALT. ❑ AD' N. El RPL. ❑ MVE.
7 OF �W ❑OTHER
WORK �`D. 13PLMB. F-1 MECH. ❑ M.H. El POOL
�rtifi.ofExempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
DESC lB OR ,�j r� �7Shorelines/
8• P& v ruoo�zJYes
Flood Hazard
Plans Required El
1/T'r+"�C/
Not Applic. ❑
Received ❑
VALUATION I soOFC
9•
GAS
ELECTRIIC
PUBLICR
r
SEPT CGE
ownership
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Privat@
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 REVERS& SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF
APPLICATION �'
OWNER OR AGENT /�^--c
� DATE _ — _.
Mech.
SPECIAL APPROVAL$
PRELIM. FINAL DATE
Env. Health
Planning
Prevent.
Utilities
SEPA
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech mg IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
PERMIT NUMBER � 6
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE IS" eO l 0 8- u 3 PERMIT Na. 4 8. 0 z
X47,00 d0-
TOTAL
O
C
C
U
U
Serving the Inland Empire
ar= Tbeex Ooaxtie,y
STEEL BUILDINGS, INC.
EAST 5503 BROADWAY SPOKANE, WASHINGTON 99206 (509) 535-9016 1-800-572-5641
GENERAL CONTRACTOR • LICENSED • BONDED • INSURED for your protection
(Lic. No. TO-WN-CS-B263S9)
Name pn).3e,e_velaf
Address ?JS- (Lc
city —5T616+71g sta.
cou., rip Crd0
Telephone
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