1983, 11-16 Permit: 83B-1738 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY BOB ri _
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES '
STREET ADDRESS PARCEL NO.
1. e-- 14- 310 3gP AVE 23 z— 1504-
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: ,
2. if i S ILVEy rig -r L Pr710t i - . .
OWNER PHONE PHONE
M1<_NEL€ Sc1EIAT �12.2.,,--•2V7Z
3. MAILING ADDRESS ZIP Actual Set Backs in Feet to: e-�
I. . `f Z✓)O 3 c152/6 z/f0 North 'South �r) [East 3 ! I West (00 l
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential®—'
5/01F_ _Co 5J
; ,1c /4 6i,($ta X 6; 174EC A Gt e.G.-.S U$ Commercial❑
4. ADDRESS ZIP Type Const. Occupancy I Sprinklered
V-N P.-_7, ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.ValuationRemodeled Valuation Total Bldg.Floor Area
5. I o>5l)0 ,° —. '48o
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
43.0 alegr `f 80 --
CHANGE OF I 1,S,E FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
TYPE Cl NEW 111 ALT. Z1-i 'N. ID RPL. ❑ MVE. No.Baths No.Floors No.Fin.Rooms No.[�yellings
7. OF El OTHER ,-- _2. I
WORK .BCD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number
or Variance Received Yes❑ No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required ID8. ADDr 1oN F CAR./jGGc Ar)D 1/J itwq 12.OQM 7o f j j/ Yes❑ NotApplic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER ISEWAGE Ownership FEES COLLECTED
9 OF
UTILITIES PUBLIC D SEPTIC❑
PRIVATE 0 SEWER❑ Public❑Private❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on /362—)TC p)C
°o
( 3
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building 0
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 REQUIRED INSPECTIONS Plumbing
SIGNATURE OF APPLICATION 0/
OWNER OR AGENT _171 n A3V�� j DATEi%//
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FI AL DATE
Env.Health
/00 SEPA
Planning Modular/
MFG.Home
Fire d i
Prevent. O
C.)
Engineer Other(Specify) W
J_
Utilities1 3 STS LL
_ TOTAL $ I �J X
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans 121:0 c�/ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. 'r�V PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS -d 6 g' ]r,a 3.8 ° * 13 8.0 0 ° J
DAT UE PERMITo IOITAL
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