1984, 04-18 Permit: 84A-3523 Shop PLAN NUMBER APPL IC ,T ION/PERM IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY , b4A- Z
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS • PARCEL NO.1. -S.- • 04-03ppLil FlCcO V-154
— � - 4L T BLOCK SUBLLVISION LEGAL DESCRIPTION:2. 4- L 4j
S. `.S(_..4m .
OWNER PHONE PHONE
3. 7-4-E 1)(A 4'C 't k-A q --Z32
MAILINGCA-O-2_.
Zip Actual Set Backs in Feet to: �-
. I ( i;2_. p_i 0..;Lc(Eco C C( North 'South East I West /
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel ,�f Zone Classification Residential l9'
4. �. t Vvt "ZP>IC f4' Commercial❑ — "l
ADDRESS ZIP Type Const. Occupancy Sprinklered 7 ' i
A tV\..E" 'N y -, ❑Yes ❑No ❑Req'd
DESIGNER PHONE -Nelkconst.Valua� Remodeled Valuation Total Bldg.Floor Area
VC
5. ADDRESS ZIP Main Floor `At ' 'Upper Floors Garage/Store Greenhouse "
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
TYPE No.Baths No.Floors No.Fin.Rooms No.Dwellings
C9•41EW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
7• OF / ❑ OTHER
,I BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Number
WORK or Variance RequiredReceived Yes No❑ ..._____
DESCRIBE WORK Shorelines/Flood Hazard Plans Required/
8' � Yes Not Applic.❑ Received Cl/
VALUATION SOOURCE GAS ELECTRIC pWATERUBLIC[g // SEPTIC G Ownership FEES COLLECTED
9 UTILITIES PRIVATE❑ SEWER❑ Public❑Private❑
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 15.0d
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 RE,i;RSE SIDE F'R REQUIRED INSPECTIONS Plumbing
SIGNATURE OF V r " , ' APPLICATION 5k�
OWNER OR AGENT .-'t , - DATE 9--IY— 0 y Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health +/
7 // SEPA
Planning ///
Modular/
Fire
MFG.Home
Prevent.
d
O
Engineer Other(Specify) L1
W
Utilities t. ...1
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans ¢ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. ( ( PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building (1 Q .r .
Tech. /l, IN 180 DAYS DATE ISSUED 8 - PERMIT N<7 0 * 7 5° 0 4AL