1983, 07-11 Permit: 83A-6344 ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WMSHINCrTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. 5362.E 6 Wood2rre,,cs
2.
LOT
BLOCK
PARCEL NO.
-31- 5- / ' 2204.
SU IVISION
r64-er-o s -A 5 t!i
OWNER
3. cti f 1'' #
MAILING ADDRESS
54223 Ever, rpe'
CONTRA TOR
ne
f
4• ADDRESS
PHONE
9zY-s77z
PHONE
LEGAL DESCRIPTION:
ZIP
99o37
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
PHONE
ZIP
PHONE
Actual Set Backs in Feet to:
North 25 'South 2& [East 26 !West
Size of Parcel
Jc(-) X /5-0
Type Const.
ITN
ewConst. Valuatio
-� 4'
Occupancy
83//n-/
n Remode ed Valuation
Zone Classification
S747k R9.11
inklered
❑Yee
Req 'd.
Residential
Commercial C
Total_Bldg. Floor Area
6.
CHANGE OF USE FROM
ZIP
TO
7 TYPE NEW C=1 ALT. ❑ AD' N. C RPL. ❑ MVE. ❑OTHER
WORK 5k.BLD. ❑ PLMB. ❑ MECH. E M.H. 0 POOL
Main Floor
Upper Floors
Garage/Storage
Greenhouse
Cover Deck
No. Baths
Uncv. Deck
2-8
No. Floors
z
Certifi. of Exempt.
or Variance
Fin. Basement
No. Fin. Rooms 1
7
Required Yes No(U
Received Yes ❑ No❑
Unfin. Basement
(,42.
No. Qwellings
Number
DESCRIBE WORK
8. Sjn�jj/p %frJ J
VALU'ATION SOURCE
UTILITIES
O
9.
'GAS
ELECTRIC
eid6
WATE
PUBLIC
PRI VAT
SEWAGE
SEPTIC
SEWER
Shorelines/ Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public ❑ Private 0
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
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 stat •r local law reg f=ting construction or the performance
of construction. SEE REVER DE FOR REQUIR D IN `? CTIONS
SIGNATURE OF
OWNER OR AGENTA
0
APPLICATION
f
DATE ?k
SPECIAL PPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
h
`97(e
5/x,
Plans
Exam.
Building
Tech. -
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required L
Received 0
FEES COLLECTED
Building 3-t. tt'
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL$O•
PERMIT NUMBER
02* *34600
*346006
A *0.00
473.2
06-02-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ih UEDl 1- 8 3
PERMIT40)."4z *346,0 u ,. L
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