1983, 07-15 Permit: 83A-6531 Remodel, Siding PLAN NUMBER APPLICATIONP/PERMIT PERMIT UMBER
C...„- SPOKANE COUNTY - DEPARTMtNT 6rF BUILDING & SAFETY % -(. `' L
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. �_ V '9d15 P\I- -- tAJ ) (-3 - — cwt(
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: �V� �b
M IN ApDREeS —7o-1"----
5.392.0.4_
, Actual Set Backs in FruthEast �� (West _J/
C01;e jA LRTQFy- jC} LICENSE EXPIRES PHONE Size of Parcel I Z e Classification Residential
4. '��I'CCY�>=. I� Commercia ❑
ADDRESS ZIP TypeOccupancy Sprinklered
❑Yes 0N ❑Req a.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area ,, c_ * j ,,` 0:
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse - x 1 :; -'
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. (_ r,
No.Baths No.Floors No.Fin.Rooms No.Dwellings
OF
❑ NEW ALT. ❑ AD'N. ❑ RPL. D MVE.7. ❑ OTHER i - `
WORK g BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No❑ Number , Li 7: 7
is or Variance Received Yes❑ No❑
8 DEi I�Ki0� [Remo r ,i Shorelines/FloodHazard Plans Required❑
Yes❑ Not Applic.D Received ❑
VALUATION s SOgICE GAS ELECTRIC PUBIC. SEPT CGy Ownership 7 FEES COLLECTED
9. DOGS UTILITIES PRIVATE❑ SEWER D Public❑Private
I hereby certif6j
y that I have read and examined this application and have read the "NOTICE" provisions included on I
reverse side, nd know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVEI;SE SIDE FOR REQUIRED� UIINSPECTIONS Plumbing
SIGNATURE OF "'/ �' '-Q APPLICATION
OWNER OR AGENT DATE 4 0 Mech.
SPECIAL APPROVAL SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home >-
a.
Prevent. a
O
Engineer Other(Specify) LU
W
J_
Utilities
C// I LL
TOTAL $
SEPA
WPlans PERMIT IS NONTRANSFERABLE THIS
Plans EN BECOMES A PERM IMACHINE T. IN THIS SPACE,
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
cBuilding �� IN 180 DAYS QS E 5 -8 3 16,I 31 z * 6 1.0 0 �drAL
(( DATE UE PERMI