1984, 03-07 Permit: 84A-1923 GaragePLAN NUMBER
L APPLICATION/PERMIT .---
r • 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
S . ijo8 PiPr3E R.- CovR,i
PARCEL NO.
241993 -0203
LOT
2.3
OWNER
BLOCK
Z
SUBDIVISION
fzc1"GH ForLP ACAL S
3. LAIUU( MIR 14 BERME
MAILING ADDRESS
PHONE
(PHONE
LEGAL DESCRIPTION:
ZIP
NTRACTOR
�F
4 ADDRESS
4221
DESIGNER
5.
S(LYbS r
437141A vruvg-
LICENSE EXPIRES
PHONE
Actual Set Backs In Feet to:
North 51 ISouth gfl4ff.[East z9 I I West
Size of Parcel
ISb' 'Coo
Zone Classlllcation
21(o'
Residential$.
Commercla ❑
gq 7.06
Ty\V�t.
Occupancy
Ml
Sp nklered
❑Yes ❑No ❑Req rd.
PHONE
ADDRESS
ZIP
N Const. Valuation
5(o /o °0
Upper Floors
Remodeled Valuation
Main Floor
Total Bldg. Floor Area
Garage/Storageel /3
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck 1 Fin. Basement
Untin. Basement
TYPE ',NEW 0 ALT. ❑ AD' N. 0 RPL. ❑ MVE.
7 OF 0 WORK )3.BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL OTHER
N0. Batns
No. Floors
No. Fin. Rooms
No. Dwellings
Certlii. of Exempt.
or Variance
Required Yes❑ No
Received Yes❑ No❑
Number
8. DESCRIBE WORK ! . ,,, r, n - ' •' /D Scisre 24 I y 56 1 _0(
Shorelines/Flood Hazard
Yes❑ Not Aeolic. 0
Plans Required 0
Received 0
VALUATION
4213.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER •
PUBLIC
PRIVAT 0
SEWAG
SEPTIC
SEWS ❑
Ownership
Public 0 Private pc.
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
GNATURE OFN��� V- APPLICATION -MIOWNER OR AGENT 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.
Pat.1s 3/7 # gthaitJa
V.5.
3107
3/7
0.0 YU . 0. k . - c,,4x...-- Cf.1L'
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 $
hea 0
Try
PERMIT NUMBER
84A - 19 23
02* *6800
*61.00c6i
1922E
03-07-84
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t,7r=8.4
DATE
PERMIL. T—. 2 3 z * `r1 "' 0 0 SOlAL
RULES:
(1) Building must be 5' from property line
(2) Building must be 10' from drain field
(3) Building must be 25' from property line
if property line is next to a street
(4) Building must be 10' from all existing bldgs.
HOMEOWNER: G�4/0.4,141<r<'
ADDRESS /20e /ete-nrrw)
PARCEL No. 8
i
Cog... -T
LEGAL:GoT3
D3Z e It Z s
/idG,4 74/44,
5t , 2r
T_2s',(/
/So'
1. Draw in all existing buildings.
2. Draw in new building & how many feet it is from existing buildings and property lines.
3. Name all roads next to property.
4. Draw in drain field and whether you are on a septic tank or sewage system.