1983, 07-20 Permit: 83A-6748 ResidencePLAN NUMBER APPL 1(CAT ION /PERMIT PERMIT NUMBE}}
SPOKANE COUNTY — DEPAR-WENT OF BUILDING & SAFETY '(o74-9
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. l -S
_
7,
cfLOT BLOCK SUBDIVISION, f {) LEGALDESCRIPTION:
OWNER PHONE PHONE
3 MAILIN ADDRESS ZIP ActualBacks in F
Set eet to:
J i
-S ! 61 C" S � 1,✓C C c Z North South East %f West /2
CO TRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone ification Residential ��[[
fA V J ��� f S Commerciar�
4. ADDRESS J ZIP Type Const. upan y rinklered
-S l i )C S O lC�A (� T Ztr >/ .zr� 5 / Dyes ❑No ❑Req'd.
DESIGNER PHONE Neyj Const. Valuation Remodeled Valuation Total Bidg. Floor Area
5. 2o-2
ADDRESS ZIP Main Floor Upper Floors Garage/Storage c�4
Grednhouse
CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
s.
No. Baths No. Floors No-.-01n.—Rooms No. Dwellings
7
TYPE 7BLD.
W 13 ALT. C3 AWN. 11 RPL. 11MVE. 2 r f
OF
WORK ❑ PLMB. ElMECH. 11M.H. ❑ POOL El OTHER Certifi. of Exempt. Required Y -N—oW Num
or Variance Received Yes❑ No❑ Iz �7
DESCRIBE WORK // Shorelines/ Flood Hazard Plans Required
8' 5 / 1 Mkt bti / 1/'PS al t'vk C c et,'/& c' M v n C! Yes❑ Not Applic. ❑ Received JK
VALUATr6N SOURCE GAS ELECTRIC WATERSEWA Ownership FEES COLLECTED
9 OF PUBLIC ElSEPTIC i public ❑ Private
UTILITIES PRIVATE El SEWER El
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 �-4�G1'00
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 REQUIKD INSPECTIONS Plumbing
SIGNATURE OF
OWNER OR GENT ^ \ -` DATE AT . )
., DATE Mech.
PECIA
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Utilities
Plans
Exam.j�(:� F��r
Building
Tech. 1 j%
: (SEE REVERSE SIDE FOR N
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
TOTAL $�
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
DATE ISiio—
PERMIT J 7 4 8 z* 4 6 9.0 46xAI:-
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