1983, 04-22 Permit: 83A-3167 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
} ' SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY
NORTH 811 JEFFERSON/SPOKANE,WASHIIuGI QN 99260/(509)456-3675 . tC 7
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS I PARCEL NO.
1. N,is P'f=s. V4_0 ,L.LA:,...)IQ i,.-„:„- 3 -- 4 c l
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. y .c?t Cac,KC.rz9 'u : \.r Ec..ar.,;►
OWNER PHONE PHONE i !
3. E vE:. ._,`iar !-4sr-L--C'a` U,1 `fir? ,//f
MAILING ADDRESS ZIP Actual Set Backs in Feet to: ,‘.31V �/
N,/,:j04>S, 0J 'L�i�AL...)rV C Ol 1 co North 4c" 'South I East I West `
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential
4. AtN1.€ t bC5X t�$ l 7z-I Commercial❑
ADDRESS ZIP Ty Const. Occupancy Sprinklered
E ❑Yes ❑No ❑R d.
DESIGNER PHONE Newgonst.Valuation Remodeled Valuation Total Bldg.Floor Area
5. 4,1(4 'lbs--1‘.9
ADDRESS ZIP Main Floor Upper Floors Gara a/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. :_ k -----
7• OF ❑ OTHER
WORK d BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.of Exempt. Required Yes❑ Nor Number
or Variance Received Yes❑ No❑ -�---
DESCRIBE WORK Shorelines/Flood Hazard Plans Required r
8' 1pE'T✓=1GLi C:t�L2��ty,.� i( Yes❑ Not Applic.0 Received 6
SEWAGE/WATER
VALUATION SOOFCE GAS ELECTRIC pU8 IC❑ SEPTIC in."' hip 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 -75,(.'()
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
of construction.SEE REVERSE SIDE FOR REQUIR D INSPECTIONS Plumbing
SIGNATURE OF / APPLICATION - _ "" A :5
OWNER OR AGENT ►�L.-.�- A DATE Mech.
SPECIAL APPROVALS SPECIAL CO DITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
Al
,[ /
'T SEPA
Planning
Modular/
Fire MFG.Home
Prevent. Q.
Q.
O
Engineer
Other(Specify) V
s/ W
Utilities 4 `S• J
TOTAL $�
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
Building
Tech. 4 IN 180 DAYS l `I o L
DAT ', �' d.' _'* PERMIT L
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