1983, 04-01 Permit: 83A-2518 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / gpOKaE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
PARCEL NO. 2.3y.�h1 j
2.
LQT
BLACK
S{1BD Vj ISIONI�
14(1 foGer
3. D��EI✓tJono_ t5tJRCro-r J r
MAILING- ADDRE
5 tJestsj�
PH NE
-89'31
PHONE
LEGAL DESCRIPTION:
Ejo3 -7
Actual Set Backs in Feet to:
North 'South 1
(East est
4.
CONT�i pR )
ADDRESS
LICENSE EXPIRES
PHONE
ZIP
5.
DESIGNER
PHONE
ADDRESS
ZIP
Size of Parcel
e2,c 104—
Tyiie t`ot.
Nevicqnst. Valuation
Main Floor
W
Zone Class) Icati n
a MO '
Residential V
Commercial 0
Occupancy
11
Spr nklered
CYes CNo CReq'd
Remodeled Valuation
Total Bldg. Floor Area
Upper Floors
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Garage/Storage
`B/a7seG
Greenhouse
Fin. ment
Unfin Basement
TYPE 0 NEW
7. OF /
WORK IJ BLD.
❑ ALT. AD' N. 0 RPL. 0 MVE
0 POOL
0 PLMB. 0 MECH.
❑ M.H
0 OTHER
No Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
8.
9.
DESCRIBE WO
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
PUBLIC RCi
PRIVATE 0
SEWAG
SEPTIC
SEWER 0
Shorelines/Flood Haza d
Yes❑ Not Applic.0
Ownership
Public 0 Private9'
Required Yes° No0
Number
Received Veal No0 `/�
Plans Requ red ET
Received
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 wheth=r specified herein o not. The granting of a permit does not presume to give au-
thority to violate or cancel the or visions of any oth) state or local . regulating construction or the performance
of construction. SEE REVE ' IDE FOR R GUI, D INSPECT'
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVAL
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
APPLICATION
DATE
SPECIAL CONDIT 9 NS: - REVERSE SIDE FOR NOTICE
tlawktb
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. Horne
Other (Specify)
TOTAL $ ‘e,
PERMIT NUMBER
83A 25/8
01* *6800
*,68006
A *0.00 3
251.78
04-01-83
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQSSUEr .11- 8
PERMIT44 . 1 0 5 *6 8' 0 0 tdAL
1 -
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