1983, 09-20 Permit: 83A-9282 Garage PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUM ER
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY ` ' 73A i 2--
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
C- - APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. te . ��{
K al e-vy'ct7 Z 3)5 4--Z-- o c' f
LOT BLO SUBDIVISI N LEGAL DESCRIPTION:
2. l I crM -'r MO,
OWNER PHONE PHONE
3. KVA-Vizi, JOZ ..
MAILING ADREyZIP Actual Set Backs in Feet to:
1� �if
rj, V f""-)- North I I South East I West
CONTRA TOR ICENSE EXPIRES P NE Size of Parcel Z ne Classifica Ion Residential
4. r ti-ei-t-doliki-( n1S '�e , .97.15 -x I I® F3 r Commercia ❑
ADDR SS TypeCCgqns Oceu n y Sprinklered
Y�^� V1� ,A ❑Yes ❑No ❑Req'd.
DESIGNER / PH E New nst.Valuation I"b Remodeled Valuation Total Bldg.Floor Area ,- * "A !+7. C C
5. (1 - 00
ADDRESS ZIP Main Floor Uppe; s Garage/Sto ge y Greenhouse
` 1� V, 7
it
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. 1
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ['AD'N. IDRPL. ❑ MVE. — " —
7• OF ❑ OTHER `
WORK 'LD. ❑ PLMB. ❑ MECH. ❑ M.H. CI POOL CrVariao Exempt.pRequired Yes❑ No❑ Number ( 7 rt
Received Yes❑ No❑
8. DEk.CRII ORK'{.� �, Shorelines/Flood Hazard Plans Required 7
f': I���C='1 g> / Yes Not Applic.❑ Received ❑
VALUATIONAISOURCE GAS ELECTRIC WATER SEWAGE/ Ownership FEES COLLECTED
9 LI PUBLIC d SEPTIC f9' Public❑Private
UTILITIES PRIVATE❑ SEWER❑ 111
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
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 i
of construction.SEE REVERSE SIDE FOR REOU RED INSPECTIONS Plumbing
SIGNATURE OF r_" �// APPLICATION
�0,�3 Mech.
OWNER OR AGENT DATE //
i
SPECIAL APPROVALS SPECIAL ONDITIONS: EE REVERSE SIDE FOR NOTICE) l
Plan Check
PRELIM. AL DATE b
Env.Health Gv e (JL.G- 10 NLl SEPA 1
Q/20
i
Planning Modular/
MFG.Home
Fire
Prevent. t
Engineer Other(Specify) W
J It
Utilities 44- f�
TOTAL $
SEPA
Plans i
(` WHEN MACHINE VALIDATED IN THIS SPACE,
" PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. /Z`) PERMIT IS NULL AND VOID IF8 WORK HAS NOT COMMENCED
Building � IN 180 DAYS DATE&SQIED 2 0 -8 3 PERMIT 9-
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