1983, 05-19 Permit: 83A-4283 Residence1N NUMBER APPLICATION/ PERMIT
r. SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS I
LEGAL DESCRIPTION — SEE ATTACHED
1. S. 3221 Robbie Su.
LOT I BLOCK ISUBDIVISION
2. 3 4 Mi d,9.1 nmP
OWNER
g Highview Acres, Inc.__
ADDRESS
E. 139G3 Sprague #8
okane, Wa 99216
PHONE
?,TN of 33
ZIP Actual Set Backs in Feet
North 17' South 1?'
ONTR
ROber`� CTOR Pie1aet
PHONE
928-9016
Size of Parcel
15359 x 85
Zone Classification
Residential--
4. ADDRESS
ZIP
Type Const.
Sprinklered
Ell'. 1390 S ra ue #8 S okane Wa
1
18gly
❑Yes No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
Dan Terhaar
922-5971&5-0o6►3-I�
�83tn
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
E. 114062 Sprague Spokane, Wash.
992o6
1378 1
-- I
X .4 458
—
CHANGE OF USE FROM
TO
Area of Decks
6 14=84'
Finished Basement
Unfin. Basement
1353
6.
x
--
No. Baths
No. Stories
No. Rooms No. of Dwellings
TYPE KkNEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
2
1 I
], OF El OTHER
WORK, BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ElPOOL
CERTIFICATE
Req'd.
Recd. Not Req'
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. Residential, sin le family wl attached ara e
VALUATION
I SOURCE
GAS
ELECTRIC
WATERSEWER
Ownership SE CODE
9. 8 00.0
OF
UTIL TIES
r'r�
I
Public El Private
Single $
1 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
Building`L
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority 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 INSPECT
Plumbing
DATE OF APPLICATION SIGNATURE OF APP LICA
�Ca
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
I
Plan Check
Planning
•, Fire Marshall
YI Co. Engineer
PPPP
Utilities
- �
5: tPH c,-nec
Budging Technician PERMIT IS NONTRANSFERABLE
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER,
428
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05-,,1-' ,-8a 3' 428,35 *37400a —
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