1982, 11-22 Permit: 82B-1296 CarportPLAN 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
1. :. itrj IJDrf,
PARCEL NO. 1 O 4-4 — 0-7,1(0
LOT BLOCK
2.
SUBDIVISION
OWNER
3. ��sit, A No,
1;241 NI
MAILING VOCA
Z III ..//Y.
J
CONITRACTOR
4.
ADDR '��
S i
N, • I O I 1 r
DESIGNER
5.
PHONE
PHONE
ZIP
LEGAL DESCRIPTION: 02.,,��i 1
Actual Set Backs in Feet to:
North [�C>> South
LICENSE EXPIRES
2 z -1 v\
PHONE
✓ j2— I j
PHONE
Size of Parcel
il ne Classification
K lc -
East I 1 West
Residential 0
Commercial 0
TypeOns .
Occupancy
Sprinkll,red
❑Yes ❑Req'd.
New Const. Valuation
//%I
Remodeled Valuation
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE
7. OF
WORK BLD.
❑ ALT. ❑ AD' N. ❑ RPL. E MVE.
❑ PLM B. ❑ MECH. ❑ M.H. ❑ POOL CI OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes❑ NOES
Yes❑ No❑
Number
8.
DESCRIBE WORK 4-k
SOURCEF
UTILITIES
VALUATION
9.
GAS
Shorelines/Flood Hazard
Yee❑ Not Applic.
Plans Required 0
Received ❑
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC
SEWER 0
Ownership
Public 0 Private a
I hereby certify that 1 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 REVER SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF
O 'DG�(
OWNER OR AGENT "C/ �S
APPLICATION,
DATE /
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
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
2"-
2_ Z
PERMIT-PM:M R
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE kstED2 2 - 8 2
PERMIT la 9.6 z
*2 L.. 0 0 . O4AL
z„.•16.,
MARTIN LLOYD A
E 18207 APPLEWAY AVF
'GENACRFS WA q,3016
LiGALDESCRIPTION
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CANAt R//4 T.
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1
IRR.
( OWNER
150
liCrl A MARTIN
VrkA HLG 4T INT GF
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-IT-AS AT T( CF Tr(7) r;
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