1984, 04-19 Permit: 84A-3547 Siding, Fascia PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY gl14 — 3S47
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PP.,RCEL) O.
1. e , )35/124 Ye'_C� C,(V15
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2.
OWNER „, PHONE PHONE
fA
3. Iio(rnall YC vi --rY Uri- (654
MAILING(ADDRESS / ZIP Actual Set Backs in Feet to:
1 3 5 14 Red ( 05 cf,2-.2_/c, North 'South [East I West 4
CONTRACTOR vtr L �7 (, P(�iONE `� p Size of Parcel Zone Classification Residential El
C. kat --PJ-1 1.1 CT 1NSEEXPIRFS
I / �5 /aZ T'8L Commercial❑
4• ADDRESS � ZIP
Type Const. Occupancy Sprinklered
I31 3IIO 49ovan6 nc:t_ i{ 9q..1-/.,)--- ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5.
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse i' 'i
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF
OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ElM.H. ❑ POOLpereLA Certifi.of Exempt. Required Yes No Number
j� or Variance Received Vest: No
DESCRIBE WORK / Shorelines/Flood Hazard Plans Required El8. <51-11_49) S/(.l.l / / SOI-- _ Yes ID Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership
P9 141.45 ;('-
----- UTILITIESLIPRIVATE O SEPTIC O Public❑Private❑ FEES COLLECTED
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 ofO�?.
Building ��
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 Plumbing
SIGNATURE OF n(/' APPLICATION 0///775-4.t
OWNER OR AGENT "r L c DATE Mech.
SPECIAL APPROVALS SPECIAL CO J ITI• 'S: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home }
CI-
Prevent. 0
Engineer Other(Specify) v
W
—I
Utilities / � LL
TOTAL $ 6l
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech.Bing ��1/ //4. IN 180 DAYS DATEIISSI ' —' PERMIy'ryu.({ 7 z * 6 10 0 d WrAL