1983, 04-28 Permit: 83A-3397 RemodelPLAN NUMBER
s,- C2.7
' APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, W,ISHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
2.
STREET ADDRESS
E2. 18'2203
LOT
BLOCK
SUBDIVISION
3.
OWNER17\ f7A QI NI61
HO E
PHO E
w'22
MAILING ADDRESS
-I5 09) i- kJ
CONTRACT R�
4. sA r✓
ADDRESS
LICENSE EXPIRES
?P771ONE
PARCEL NO
07r2 -r(— C)15�,
LEGAL DESCRIPTION: Cc F'
Actual Set Backs in Feet to: ••• -•741 511 (tet
North [South ✓ East "1
West
Size of Parcyl
ne I s ification
I'
Residential,la
Commercial ❑
ZIP
Type CAns{-
DES ER
5. NA X �-
ADDRESS
55
PPHOONNE. �7
'r
ZI
Occupancy
Remode ed Valuation
Sprinklered
❑Yes ❑No ❑Req'd.
New Const Valuation
Total Bldg. Floor Area
Main Floor
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE E NEW ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF
1��/
WORK BLD. ❑ PLMB. ❑ MECH. ElM.H. LIPOOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
DESCRIBE WORK
8. 7r7k
VALU'SOURCE
9. Z--7 UTILES
▪ If'1Or
GAS ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEWAGE/
SEPTIC a
SEWER 0
Shorelines/Flood Hazard
Yes ❑ NotApplic. ❑
Required YesC No ID
Received Yes❑ NoC
Plans Required2'
Received
Number
Ownership
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
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
SIGNATURE OF - ` APPLICATION
OWNER OR AGENT DATE
3
SPECIAL APPROVALS SP - IAL CON • ITIONS: (SEE VERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
Poi elly
q- q
'No
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
b&
TOTAL $ �p
PERMIT NUMBER
3397
* 13600
* 1860(q`,
*033
04-28-83
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE;SUED2 8 - 8 5
PERMITIC. 9. 7 g *1 8 6. 0 pD}gL
..0, O/ =,./ %Y�/",b' ...Z/S- -
/ / / /
/ // /
/ // / /
073 -j rV' ZO . .7yii+3S/ MpN ./
/
/ / /
I 3/11aib^.
.C72'31/1/77,d-
,i. 'tr7rY/7o9 153M
9N.1 N1/O? _7. 77a
Y (Ygf/1
1504' 0,02? 1�
Jd'bt7N/J/ 7/ 3N1 SL
/v0 OS/ .L7Nla'O
3N/7 'S YIYO7d 7%
.Yrr/aco J7c/5Y 7 ;
5'44:777Cb' 5 v o3a/2
„..-7.,Y0:2.9 n// aSc
. '5b'/ua .9,17NSfr./
,2.ervo J 1J/a'1SK7 /y
d -1674 do
'- /YOi
4
r 64
7a1 L'bt13J
517
(%7 MQ7�'
,?9b/v/p'2'0
-9"DD7X97,S'
//
Ys z 7/.4/.75 /N3N
•
T
1
G'OMHS %�
/70v dwi7d
a'oPNti?N
3Soo17, 7CY/I Six
dOlS
-aof g ,ZZ-
a a3L
3doi 5
i
}
07.
.1 S/70/7,