1983, 08-24 Permit: 83A-8198 GaragePLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
ADDRESS
ZIP
APPLICANT: COMPLETE NUMBERED SPACES -PRESS
HARD TO MAKE 3 COPIES
Garage/Storage
Greenhouse
STREETADDRESS
—
PARCEL NO.
_?2.0
CHANGE OF USE FROM
tdS
Cover Deck
1CQ y I - 12 -63. -
Fin. Basement
Unfin. Basement
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE E E' ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
OWNER
PHONE
PHONE
3.
`
f---
Z 1) -7
WORK . ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
�Ifi.ofExempt.
Required
MAILING ADDRESS
'
ZIP
Actual Set Backs in Feet to:
_
a
Shorelines/ Flood Hazard
Plans Required
Cay. c)')
North Le I South East S 4j West
5
VALUATION
CONTRACTOR
ELECTRIC
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4.
UTILITIES I
FWATER
PRIVATE El
X & S
I
I Commercial ❑
ADDRESS
provisions included on
ZIP
Type Const.Occupancy
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Sprinklered
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 REOUIR6D INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION i
OWNER OR AGENT DATE � DATE �,"�
❑Yes ❑No
❑Req'd.
SPECIAL CONDITIONS: (SEE REVERSE SI DE FOR NOTICE)
DESIGNER
PRELIM. FI AL DATE
PHONE
New Const. Valuation Remodeled Valuation
Total Bldg. Floor Area
SN00 ---
4#@00- Li .z
5
a
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
—
_?2.0
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE E E' ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
%. El OTHER
M.
f---
WORK . ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
�Ifi.ofExempt.
Required
yes[] No El
Number
or Variance
Received
Yes❑ No❑
8 DESC IBE WORK
---s
Shorelines/ Flood Hazard
Plans Required
Cay. c)')
Yes❑ Not Applic. a�
Received
VALUATION
SOURCE GAS
OF
ELECTRIC
PUBLIC ❑
SEWAGE
SEPTIC
Ownership
/
FEES COLLECTED
9•
I
UTILITIES I
FWATER
PRIVATE El
❑
Public ❑ Private`�7
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
Building (08)
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 REOUIR6D INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION i
OWNER OR AGENT DATE � DATE �,"�
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SI DE FOR NOTICE)
PRELIM. FI AL DATE
Plan Check
1% Env. Health
SEPA
Planning
tngmeer
Utilities
SEPA:
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building C� IN 180 DAYS
Tech. �jlZ 1
Modular/
MFG. Home
1
Other (Specify)
TOTAL $
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. n
DATE4((}}59UE� 4 -8 5 PERMI pj 1. 9.8 5
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