1983, 03-03 Permit: 83A-1495 Garage PLAN NUMBER • 'I APPLICATION/PERMIT . e PERMIT NUMBER
050SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 83,4 p05-
0.2
. NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESPARCEL NO.
x`3 '1 *\ 1 — 9
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: r I 511 — r I )
2. (aki
OIsf� ONE PHONE
3. J `�� l‘ Z"3 7lr> 0,
MAILING ADDRESS y� � •
ZIP '7 Actual Set Backs in Feet to: `
�C.?J ✓-166 V i � • ","(93 / North !South (! C [East p, I West 1 [I '', j
CO`,�N�T�'A�C/T,��O LICENSE EXPIRES PHONE Size of Parcel Z ne Classification Residential E r z — `;
4. -" t 1 10 �G,• 6 C---' Commercial❑ J .; __ —
ADDRESS ZIP Type
vntl. Occtilnr Sprinklered
❑Yes 0 N ❑Req'd. t14 '7 y
DESIGNER PHONE New Const.Va uation Remodeled Valuation Total Bldg.Floor Area
5. - 2
ADDRESS ZIP Main Floor Upper Floors Gara a/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck - Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ID POOL ❑ OTHER Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes No
8 DESCRIBE WORK""" fffShorelines/Flood Hazard Plans Required❑
p6T 4.1 ,,,���'�'J a01/1/41:241� (Z<-:7 x 4-) / Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCEOGAS ELECTRIC WATER/
APUBERfS / SEPTIC Q Ownership FEES COLLECTED
9 OF
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 Building64.
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 REQUIRED INSPECTIONS Plumbing
SIGNATURE OF CAPPLICATION
OWNER OR AGENT �
.-rvYNI C'431-fr1. 0 z DATE 3 I3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. F AL 4DATE Plan Check
Env.Health /
Y-52 SEPA
Planning
Modular/
MFG.Home y
Fire
a
Prevent.
O
Engineer 14‹ Other(Specify) r,
I I, W
J
y���AJJJ J4 _
Utilities f LL
TOTAL $ 1
SEPA
MACHINE
Plans N PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. (; ^b, PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building ` IN 180 DAYS (� �j -03 - 83 49.52 *5400 ° J
/5 DATE FSS(JED PERMIT LC. AL