1983, 01-27 Permit: 83A-659 Addition PLA"NUMBER APPLICATION/PERMIT PERMITN'JMBER
"wit" cfgSPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY �� '.
e.)\ _
NORTH 811 JEFFERSON /SPOKANE,WASHI1IGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E•Q(oZc' SWARD 1754-P,"O5i-7
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. i-t .. itis ,vl+v Atz)7)t"i e
OWNER PHONE PHONE
3. V. Lei...)J.'S aZZ-4-3 '8
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
E •4(4 ZO '5 A Ala. Qa t. North •50' 'South [East 5°i I West
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ER/
-✓okhn.E Q 3 14S Commercial 0 + .i 1 L�. 00
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
SAtvt.6- ❑Yes 0 N ❑Req'd. 1 1 a !�
DESIGNER PHONE ...(Const.Valuation Remodeled Valuation Total Bldg.Floor Area
.) �: ,`
5. II' l OO 3c4-
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
304- 304- --
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement 6; I ( 7-8 3
6. --
r No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE [ EW ❑ ALT. VAD'N. ❑ RPL. ❑ MVE. .—, ., i
7. OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Testi NNumber
or Variance Received Yes❑ Noll
DESCRIBE WORK Shorelines/Flood Hazard Plans Required 0
8. �p 0 Vt.00 -11_ .. .`C7 g t.3C.-e. Cid x“A) Yes❑ Not Applic.0 Received 0
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE/ Ownership / FEES COLLECTED
9. UTILITIES
OF
PUBLIC❑ SEPTIC
PRIVATE 0 SEWER❑Nl Public 0 Private4C
I hereby certify that I have read and e . mined this applic- '•n and have read the "NOTICE" provisions included on
reverse side, and know the same to - true and correct. •II provisions of laws and ordinances governing this type of Building 11 ,(2d
work will be compile. • whe, , specified herein . n. The granting of a permit does not presume to give au-
thority to violate of-cancel the 'visions of an . ate or local law regulating construction or the performance
of construction.SEE REVER-••SIDE FO;'v Ou • D INSPECTIONS Plumbing
SIGNATURE OF � � AATECATION/( _, -'�
OWNER OR AGENT Mech.
' SPECIAL APPR'VALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.H6alth
/ z SEPA
Planning
Modular/
MFG.Home )—
Fire
Prevent. Ct.
O
Engineer Other(Specify) C.3
W
J_
Utilities it 4 DO LL
TOTAL $
SEPA
`� WHEN MACHINE VALIDATED IN THIS SPACE,
Plans l i/ �� PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. 7. ( PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
TchBuilding �,� IN 180 DAYS (l l 2 7 8 3 6 5.9 z *11 4.0 0 11 Ill
iiyCC J� DATE ISSHED PERMIT NO. TOTAL
�.0
0‘
Q\
1 1.%
. 8
-da)
ivoo.icta ti
611.501/4,1
r ay
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