1983, 01-07 Permit: 83A-0147 Residence [PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
-_ — 8GI SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY S3 " 0141
NORTH 811 JEFFERSON/SPOKANE,WASqINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. S. 3805 VJDOD Alvarz-< 33542. --33®i
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. t z. J,c1- Ian LC-)/U
OWNER PHONE PHONE
3. —.‘c-1 OA ic.,..Ile-c-Li 4z+–i.G,88
MAILING ADDRES1vz�p Actual Set Backs in Feet to:
i 14Z> 44' iCaZ.C�G North Co ' 'South i Ui East `west 2G.' .
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential _. _
4. la Az. It i. 5" 2–1 Commercial 0
ADDRESS ZIP •Jyp i nst. O pa Sprinklered
G AMLf �J ❑Yes ❑No ❑Req a.
/ r
DESIGNER PHONE Up Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. 5�3 SO •? i cCo -
ADDRESS ZIP Main�o Upper Floors Garage/SSttorage Greenhouse
1CHANGE OF USE FROM TO Cover Deck Uncv.Deck CCooFin.Basement Unf in.Basement
6. --- --- k4 34.
TYPE/ No.Baths No.Floors No.Fin.Rooms No.Dwellings
EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. Z % GP i
7 WORK LD. 0 PLMB. ❑ MECH. ❑ M.H. Ill 17 OTHER Certifi.ofExempt. Required Yes❑ NoPf Number a
'J B
or Variance Received Yes No LK I
DESCRIBE WORK Shorelines/Flood Hazard Plans Required'H
8.' t2.' ts-.✓x . G_ ke TLC0
1'tJ.AtVYes Not Applic. Received
VALUATION SOURCE GAS ELECTRIC WATER1 SEWAGE/ Ownership FEES COLLECTED
9. OF PUBLIC' SEPTIC Public❑Private❑
UTILITIES PRIVATE❑ SEWER❑
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 Building # 3(a2 f.'X
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 can the provisions of any other state or local law regulating construction or the performance
of construction.SEE .� RSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF _ �� APPLICATION)� �, ' Gam_
OWNER OR AGEN -� r�i1 Ar DATE d G7 Mech.
SPECIAL AP' ; •VALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health 7
✓ 1 ,LCI ii-iCs3 SEPA
Planning
Modular/
Fire MFG.Home y.
Prevent. 0
O
Other C0
Engifieer D? (2/2,�� (Specify) LU
Utilities W
TOTAL $
SEPA
Plans p�ZZC PERMIT IS NONTRANSFERABLE WHEN MACHINE PERMIT.VALIDATIN THIS SPACE,
Exam. THIS BECOMES A PERMIT.
u'`r'" PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building r1� IN 180 DAYS -� -8 3 Pll7.4, z * 3 lS 2.0 a�4f
Tech.
DAT UE PERMIT AL
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