1983, 06-15 Permit: 83A-5324 AdditionPLAN NUMBER
APPLICATION/PERMIT
`
-SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANL, WASHINGTON 99260 / (509) 456-3675
-APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1.
E. .1 Va�tt sc E'/
LOT BLOCK SUBDIVISION
2.
OWNER
3 9.-1/44 • TiA\ C..02
PHONE
PHONE
PARCEL NO.
356,3- oa01/
LEGAL DESCRIPTION: t +p`+ L- s
',.K 1 W Fsr res
ALL L.o-t A
4.
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
E•14D•o'5
CONTRACTOR
4. $urns
ADDRESS
G4411.6
DESIGNER
5. ADDRESS
LICENSE EXPIRES PHONE
North `— 'South 5).2 East L West
Size of Parcel Zone Classification
ita.1040 A6rz1
ZIP
Type Const.
Occupancy
.M-1
i8`
Residential
Commercial 0
Sprinklered
❑Yes 0 N ❑Req'd.
CHANGE OF USE FROM
6.
PHONE
ZIP
TO
TYPE ❑ NEW ❑ ALT. SAD' N. ❑ RPL. ❑ MVE.
7. OF /
WORK Its BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
wConst. Valuation
1r? Sa
Remode ed Valuation
Main Floor
Upper Floors
GaraagBe'y�/Stto�orage
4'�
Total Bldg. Floor Area
44-8
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certif1. of Exempt.
or Variance
Required
Received
Yesp
Yes
DESCRIBE WORK
8. A06-.) 0 r -co --Rcs I 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Shorelines/Flood Hazard
Yes NotApplic. ❑
WATER/
PUBLIC ff
PRIVATE ❑
SEWAG
SEPTIC
SEWER ❑
Ownership
Public ❑ Private ❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF / PPLICATIO
OWNER OR AGENT al � �j-- _ L t _ , . _ DATE
tow /?
SPECIAL. APPROVALS SP CIAL CO ITIONS: (SEE R't`VERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
(eij11
(01(/
45,
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
No❑ Number fse1'ar.<,K.
No❑ YE -3$'e3
Plans Required 1—/
Received IR
FEES COLLECTED
Building L4.0O
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 54 .°6
PERMIT NUMBER
f33/1 -5-azi-
02** *54.00
*54.006
A 'Q00
53232
06.-15-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQS3UEbl 5 '_ 8 3' PERMITU. 2, 4
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