1983, 02-14 Permit: 83A-1079 Garage PLANNUMBEP. NI APPLICATION/PERMIT - Pt*RMITNUMBER
COUNTY - DEPARTMENT OF BUILDING & SAFETY 1 �q
P1SPOKANE
NORTH 811 JEFFERSON/SPOKA'NE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
2 LOT BLOCK SUa�lvl to 7 9' 1pci 1��I i........„0.1 LEGAL DESCRIPTION:
3. N �� pi `,. �
OWNER � PHONE HOIJIE ,773
M Actual Set Backs in Feet to:
MAILING I fG'1 27 r— i--I 1 V North5
1South ts: I West
CONTRACTOR LICENSE EXPIRES HONE Size of Parcel e Iassifi tinOommercaal� ' `
4. ( � F-1 [� DIL 13'7 x Ii •
ADDR j� Type t. Occu inklered
p , X �/ '�J .1 ❑Yes 0 N ❑Req'd.
D`E`SIGNER '// PHONE/ Nt. alu ion I Remodeled Valuation Total Bldg.Floor Area
5. - -
ADDRESS ZIP Main Floor Upper Floors Gara e/ Lora a Greenhouse
g7& 7
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf In.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE /�NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7.
0 OTHER
WORK 2BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.of Exempt. Required Yes❑ No Number
or Variance Received Yes❑ Non
DeSCRI E K Shorelines/Flood Hazard Plans Required C�
8 Q �� / Yes❑ Not Applic.0 Received QE]E]///
VALUATION SOURCEOGAS ELECTRIC PUBLICRJ ' SEPTIC Gq/ ownership FEES COLLECTED
9. OF
PRIVATE 0 SEWER iii777 Public 0 Private ke
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on �j�
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of 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 REVERS SIDE FOR IIRED ECTIONS / � Plumbing
SIGNATURE OF Jtrw0� `' APPLICATIONS, iz!• /Yav 3
OWNER OR AGENT ,t DATE (t Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health GOKI-r, t, t (-2,2., 0 , �- 7 n �� L7- 3.)'
SEPA
Planning
Modular/
Fire MFG.Home
a
Prevent. G
Other(Specify) r,
Engineertgyfiet4 W
J
Utilities / �J�'
tT-
TOTAL $ kLl�
SEPA
MACHINE
Flans 2 PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building r IN 180 DAYS ,'-1 `F —8 3 'j (� 7.9 z * 6 8. 0 a m ►L
Tech. 4.A ! /Yl, DATE ED PERMIlia. O O
4
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