1983, 08-11 Permit: 83A-7678 ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANC.,.WAS4INGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
LOT
LOT
2. -Z
BLOCK
occ
SUBDIVISION
-TO r•--) rLasA
4-:tt
OWNER
3. A V IN vrESTrwE •‘-'T
MAILING ADDRESS ,-
-1?. C. .-e •sc I IC:C)Cc
PHONE PHONE
e -i7cF
CONTRACTOR
4. S.ta r►'NC_
ADDRESS
•I'‘ 044.
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
CHANGE OF USE FROM
ZIP
I
PHONE
ZIP
PHONE
ZIP
TO
TYPE MI NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7 OF ❑ OTHER
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
PARCEL NO.
-2- SA- i – 9-.00
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North 14' 'South
East
Size of Parcel
4`5XtSKerre...ow
Type Const.
J�i ht
Occupancy
2316t-
Const. Valuation
Main Floor
6 Cxi
West
Residentialfl
Commercial 0
Zone Classification
Spr'nklered
❑Yes 0 N ❑ Req 'd.
Remodeled Valuation
Upper Floors Garage/Storage
Cover Deck
Uncv. Deck
qG
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
DESCRIBE WORK
8. Lc H►�ntL`i R Stpct c -E
VALUATION
9.
SOOUR CE
UTILITIES
GAS
ELECTRIC
Total Bldg. Floor Area
2-5-5 1
Greenhouse
Fin. Basement
No. Fin. Rooms
Required
Received
Yes Noir
Vest: Non
Shorelines/Flood Hazard
Yes NotApplic. 0
WATER
PUBLIC US
PRIVATE 0
SEWAGE)
SEPTIC LE
SEWER 0
Ownership
Public 0 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
work will be complied with whether pecified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the pro i ions of any other state or local law regulating construction or the performance
D FOR ;Q' UIRED INSPECTIONS
of construction. SEE REVERSE SI
SIGNATURE OF
OWNER OR AGENT
4
/1
i'
APPLICATION 7.— ^ ?_ ep -�
DATE -L
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
(Aka- eh
Planning
Fire
Prevent.
Engineer
Utilities
116
SEPA
Plans
Exam.
Building
Tech.
PECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
‘2, T oz+.w-c v\ 6tt54
LAXt J vrID.d^ Yz7 '1'3'14
5 . - WCL 0/14
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Numb,
Required
Received
FEES COLLECTED
Building 4,5q•i;t5
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ -�-
PERMIT NUMBER
83A 7(0'48
02* *43.900
*439.00
A *0.00 0
710.12
07-28-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQSSUEDL 1` — At
PERMITrNii. Z 8 Z * 4 3 9. 0 0 fi°drAL
CISJ 0;11,000 0-2