1984, 03-13 Permit: 84A-2144 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
1.
2.
STREET ADDRESS
5 p
1 12.oS K 'so lhi P�1E
LOT BLOCK
11 3
PARCEL NO.
17553 ,- 1317
SUBDIVISION
G UTHRIE S vzW YW of
3.
4.
Ol> c µ L1vv.13E-1`Z-
PHONE WM -K
orn -4001
P N I�0)"t1�
-5Coa 1
LEGAL DESCRIPTION:
MAILING ADDRESS
CONTRACTOR
9.41/41)1G- —
Z4.90 E Go
Feet to.
North Set 1[ [South E,1%[- East (2-&' Iwest .F -%(4'T '
LICENSE EXPIRES
PHONE
Size of Parcel I Zone Classification
Residential QS
Commercia D
ADDRESS
ZIP
TYpe_ opt.
OCCICICy
Spr nklered
DYes 0No 0Req 'el.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Na.V_Cornt. Valuation 00
5 37(� --
Remodeled Valuation
Total Bldg. Floor Area
Man Floor Upper Floors
Garage/Storage p 72
Greenhouse
6.
TYPE NEW
7• OF d
WORK 1"'BLD.
I
DESCRIBE WORK
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck 1 Fin. Basement
Unfin. Basement
8.
❑ ALT. ❑ AD' N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Gerbil. of Exempt.
or Variance
Required YesD No❑
Received Yes❑ NoC
Number
'2 I` i 3 2 I 6A(1,P4,1 . oN SLA -a
Shorelines/Flood Hazard
Yes° Not Applic 0
Plans Repo red D
Received 0
VALU%[*,ION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEPTIC
SEWER 0
Ownership
Public 0 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-
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
SIGNATURE OF^ // APPLICATION .,/.27e,./OWNER OR AGENT O., (10.4 DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
/Env. Health
*C y$C5$
Planning
Fire
Prevent.
Engineer
Utilities
N/A
SEPA
Plans
Exam.
Building
Tech.
ULg €XI5'1.106 PAW E-tUPti
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
68 -
Other (Specify)
TOTAL $
PERMIT NUMBER
&466C-ZI�-9'
02* *6800
oozs
A *000 8
21372
03.-13-84
2 6479.
0-
I3 -
LU W
-J
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
€13'78 -4
PERMIT N 4, 4'z * 6t 8. Q Q 0. ,
TOTAL'
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