1983, 07-07 Permit: 83A-6261 Residence PLAN NUMBER 9 APPLICATION/PERMIT . ;PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY r E/'`- ik " 02--(0(
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
- APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES r<
STREET ADDRESS ` 0
1. South 2423 Wilbur Road PARCEL NO. G s
L T BLOCK SUBDIVISION ������—v�lO
4 LEGAL DESCRIPTION:
2. (0 ct 5 •i11k£w Ac. S ,
•
OWNER PHONE PHONE
3. WLAe5G-� 13:›ufa..0452=i 458",-1,So-7 -- 1 ( -0
MAILING ADDRESS ZIP Actual Set Backs In Feet to: l C.
W. tc> Gezp,ilvp„L .) Qc"2.e.4- _North 'South *Sc.' East V. I West Z C' ,
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential/
4. _`A4 fsC9 X t 5 U fZ al Commercial❑
ADDRESS ZIP Typpee Const. Occupancy Sprinklered
ax•Arx.. _ .1 �f( ii2.:3 YVl_I ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. 51,24d1- t g eS
ADDRESS ZIP M1ain0 /St
Floor Upper Floors Gara aorage Greenhouse
4
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. �--
TYPE � EW ❑ ALT. CI AD'N. ❑ RPL. ❑ MVE. No.*2hs No.Floors No.Fin.Rooms No.Dwellings
7. OF
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. LI �
POOL ❑ OTHER
c' ifi.ofExempt. I Required Yes❑ No1� Number
or Variance Received Yes Non --.
DESCRIBE WORK _ Shorelines/Flood Hazard Plans Required
8. t'ai I�f.Xt_ , f"fll�itr�f St% CNCe. Yes Not Applic.❑ Received
VALUATION SOURCE GAS ELECTRIC WATER SEWAGV Ownership / FEES COLLECTED
9. OF
UTILITIES PUBLIC�/ SEPTIC
PRIVATE❑ �L+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 4.�jg,8,
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority
Building
to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVERSEERSIDE FOR REQUIRED�/ INSPECTIONS Plumbing
OWNER OR ,'-�'u, .yam./ ��%'(,(1 _ APPLICATIONAT
OWNER OR AGENT '�✓L'/ / DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
d �f y / '.7 SEPA
Planning
Modular/
Fire MFG.Home )-
Prevent. 0
O
Engineer `, r —i 4 Other(Specify) W
A 9�• J
UtilitiesLL
6.ee
_ TOTAL $
SEPA "
�/ PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans �j /y� THIS BECOMES A PERMIT.
Exam. J 'y� S PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building / IN 180 DAYS 7 o 77 L
Tech. J DATE OISSUE O / —8 3 PERMI�NZ.6,1 z * 3 5 8. 0 0 RCTAL
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