1983, 10-31 Permit: 83B-1121 Garage PLAN NUMBER r APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY 83-6' i1Z-k
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. ,-7 -t4 ` 14-1./Litv6 \cit -C_.)-SO I
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. t ."7 Eau/ 1f.4ai..5 t�T
OWNER PHONE PHONE
3. leVlAR U►w (.., e` c,14 riczi(0 C1.,0-6340 x ;
MAILING ADDRESS Zip Actual Set Backs in Feet to:
e. ,-)E,‘44- aiK�e1..�V c eta-12 North =at 'South East �j� I West l
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential
4. d„j''-iax1ne _ 1 ZO 1r. l 4� Commercial 0
ADDRESS ZIP Type Const. Occupancy Sprinklered
6 -- i.i m-1 ❑Yes 0 N ❑Req'd.
DESIGNER PHONE peINConst. ion Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage �Gr use
" favid
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ;0 NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OFElOTHER
WORK I'BLD. ❑ PLMB. ❑ MECH. ❑ M.H. CI POOL Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8.`—De'j-{=>�-4,-(CA9 Cl C—t.tIF IV/42C-410 Yes❑ NotApplic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATE7-15—
SEWA Ownership
9 OFUTILITIES PUBLICSEPTIC
PRIVATE 0 SEWER 0 Public❑Private 0 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 of Building Col • '
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 • any other state or local law regulating construction or the performance
of construction.SEE R _•;• SI B; FOR aEQUIRED L' j'ECTIONS / Plumbing
SIGNATURE OF AFAljrfrraf
DATE Mech.— 2 ' 7 Mech.
OWNER OR AGEN
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health \ I
C . SEPA
Planning Modular/
Fire MFG.Home
Prevent. d
O
Engineer
Other(Specify) C,
W
J
Utilities U.._
TOTAL $ =L:=
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans 19- CY� PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech mg � �d�/ IN 180 DAYS DATE I S t3 8 3 PERMITLC1 21 z * 6 ].0 0 fO AL
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