1983, 09-22 Permit: 83A-9397 Garage PLAN NUMBER APPLICATION/PERMIT rPERMIT NUMBER
." ,SPOKANE COUNTY — DEPARTMENT OFI8UILDING &SAFETY .53- 11-1 -61. 11
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. N /,/'7 W doD WAR 7 RA). GP N 1115 k'ooDiA,21b 104(2-05.75 452.05.75, Y
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: , i.. W..1- '_
2. OPPoe.MAN) >✓ of
OWNER PHONE PHONE
3. £--YL-a£ KR-151-00k c!'22-01Na
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
N 111-7 1.1100D'wkF•1> RD `Wok, North ISouth 4 e East 70) I West /
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential td
S - Il G' x /4'c t �RSf^$
)c:.— Commercial❑
4.
ADDRESS ZIP Type Const. Occupancy Sprinklered
V—u m„ ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
38-fo - r90
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse -
i{8a
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE [ 'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. r'
7 WORK B1LD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL CI OTHER Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes Non
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8• cM2AG li✓ —DE-7Ac l"1fp ( 'x 24) Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC PUBLIWATER SEPT CGE Ownership 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
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of *__1 f°-=
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building x,�
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVERS 'E FOR •E._IRE' NSPECTIONS Plumbing
SIGNATURE OF /,7 ::::: -` �, APPLICATION
OWNER OR AGENT,_ -' - '-` DATE Mech.
SPECIAL APPRO •LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. EI^NAL DATE Plan Check
Env.Health Y2
SEPA
Planning
Modular/
Fire MFG.Home ).,
a'
Prevent.
O
Engineer Other(Specify) V
W
J
Utilities CAI Li
TOTAL $ 5 n
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. p PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED n Q
Building
ech ing 6 IN 180 DAYS DATEM53UED2 2 —8 3 PERMIT�It 9 ' 2 *5 4.0 0 rotAL
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