1983, 05-13 Permit: 83A-4062 Garage PLAN sER APPLICATIOi `'/PERMIT PERMIT NUMBER '
* • SPOKANE COUNTY - DEPAVXM ,NT OF BUILDING &SAFETY A --4-ti-2-.2-:2-
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES c.:
STREET ADDRESS PARCEL NO.
1. N LH-Z. VE Z-C L K.. 1,35L1-2...-O O 3 t, 1 i;
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 3 .Q. EVIN P1>i)ilDPI
OWNER PHONE PHONE
f'IRNoLP Pcic Ei_d _ (-?2`1--`73`70
3 MAILING ADDRESS ZIP 1 Actual Set Backs In Feet to:
N- +'-t /2_ V . C LE R--= cgc7-1/6 6 North f I South C.7, [East I West 2r U
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel , Zone Classification Residential 0 ''
4. 1\9'ngc. _ - q'y )(1 3.2.-i- 5)14 C-,Le. rf}M it Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinkl ed
V_.4I 141--y ❑Yes 0N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ''`7`6,b _ 57r ,
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
576 -
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
No.Baths No.Floors No.Fin.Rooms -No.Dwellings
TYPE E(NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ..-- -- i
' WORK QLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CI OTHER Certifi.of Exempt. Required Yes': No❑ Number p
or Variance Received Yes No !
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑ i
I
8• 1 130Z+\ 24 x 2`1 Yes Not Applic.❑ Received ❑
VALUATION SOOUFCE GAS ELECTRIC WATPUBLIC❑ SEPTIC SEWAGE 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 �[3l r
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 RE UIRED INSPECTIONS Plumbing
SIGNATURE OF �.r�/\ APPLICATION
�1
OWNER OR AGENT • /ADATE Mech.
SPECIAL APPROVALS SPE IAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FIN DATE SL1 4,9Plan Check
Env.Health j J 7_' F.l w col
0 /.
pi AIL wIteN 120A-Di SEPA
Planning
Modular/
MFG.Home y
rue
Prevent.
O
Engineer Other(Specify) v
W
Utilities -_-_. % LL
TOTAL $ CI '7
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE, •
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingMEM IN 180 DAYS
Tech. DATE 051E31 3 - 8 3 PERMIT41O3 6,2 z * 61. 0 0 trAL
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