1983, 09-06 Permit: 83A-8659 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
_ SPOKANE COUNTY - DEPARTMENT*,F*BUILDING & SAFETY - ��
C ..
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E E. /021 WE..u-C-SL.EEy AVS 3<17(3 -O116 1 C
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 15 I WE.1-4ZSLEY ✓hfNo. 31 APD c,oM ,. 1.C. Q
OWNER PHONE PHONE
3. LARRR\ -TI t33 .S _
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
E. 1 22i wE-1-1..-a.>t-EY Ave_ Y922‘ North 'South LEast 32. t IWest -x/S7
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification — i- ` — ,'
L}IhIEi2)U1N G3AI S-T'R1ACTi01.1 3Z '-35? f y Co m r all 0
4• ��I X ���•Q S'iNGL� FR»tli Commercial❑
ADDRESS ZIP Type Const. Occupancy Sprinklered
W- 20)rd AUCzUS7-A, ccf?�D5 (/-t.( 12-,3 ❑Yes ❑No ❑Req'd.
DESIGNER PHONE NewSonst.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ,-1740 7 ,!(D -
ADDRESS ZIP Main FloorFlo/ Upper Floors Garage/Storage Greenhouse
!CPO — —
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. —
- No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. T<ND'N. ❑ RPL. ❑ MVE. i I _1
7. OF OTHER —'-
n
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No/ Number
or Variance Received Yes❑ No❑
8
DESCRIBE WORK Shorelines/Flood Hazard Plans Required R/
"WPM ic r Ftr:CRE/rriON R•06 M. -ro EX/ST7Nc, RESIPPtcE_ Yes Not Applic.❑ Received $
VALUATION SODURCE GAS ELECTRIC PUBLICWATER❑ SE TIC❑ Ownership / FEES COLLECTED
9 UTIF
LITIES PRIVATE❑ SEWER 0 Public❑Private LI
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 / i✓.
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.SEEJ
E SIDE FOR REQUIR ' NSPECTIONS Plumbing
SIGNATURE OF ` ! APPLICATION 9 ¢-.
.j
OWNER OR AGENT �-�, � DATE 0 —a ' j Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:.E REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE -MOW No, 01-.5-0 550 urc.g.ivy LIc Sx.. Plan Check
Env.Health ',/ 4/415 C.a.L c
' - -f c"Lvi� ui H+ EI' 1�' )'
SEPA
Planning i
Modular/
•
Fire MFG.Home
Prevent. a'
O
Engineer Other(Specify) v
W
J
Utilities
J..
SEPA TOTAL $
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
T lding t1 IN180DAYS 09 = 06 -85 865,95 * 61,00 °I
l DATE ISSUED PERMIT NO. TOTAL
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