1983, 09-20 Permit: 83A-9227 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
&I SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY M " s22. l
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRE8S HARD TO MAKE 3 COPIES
1.
STREET . PARCEL NO. ! _ ! i I
ll�� r !7 z 7 5 o'•-►-
LOj BLt➢CK SABDIVI -. 4 L__ �� LEGAL DESCRIPTION:
2. 1�r7�'/ V� --rc
3.
OWNER� 1�J '/ • `� PHONE ���PHONE
MAILING ADDRESS f 1 ZIP Actual Set Backs in Feet to:
5 - 17 o 5 North I 'South East 2.....r5 I West
CONTgACTOR Cs�'V ' LICENSE EXPIRES P Parcel
ale — Size 4" 127 Zone Cstfation Commerceal�
4. ADDRESSr� t�/ IPType n Occu ncy R Sprinklered x d i i
r O- -)>( . -1,e) c_U z.,5- i i ❑Yes ❑No ❑Req'd.
� if
DESIGNER PHONE New Const Valuation Remodeled Valuation Total Bldg.Floor Area
rs
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck ' Uncv.Deck Fin.Basement Unfin.Basement _
6. 4.__
No.Baths No.Floors No.Fin.Rooms No.Dwellings si I. /
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 El OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 10 POOL Certifi.of Exempt. Required Yes❑ No Number
or Variance
Received Yes❑ No
DES W Shorelines/Flood Hazard Plans Required2''
8. IBE, RK G����a Yes Not Applic.❑ Received ❑
VALUATION SOOUFCE GAS ELECTRIC PUBLICR/ SEPTIC of Ownership FEES COLLECTED
9. UTILITIES PRIVATE E 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 Building (ag
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 R SE SIDE FOR REQUIRED INSPEC IONS Plumbing
SIGNATURE OF ,,� t �� APPLICATION<� f C.,r)
r�
OWNER OR AGENT 11 1/1 L—)4' DATE V c., Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Jp l'I 1/0(1A '1/0(1A '1/0(1A ' Plan Check
PRELIM. FINAL DATEE A I t "1,,,,,// Kle/W
Env.Health .?-,(1-0-7-'
(1-
7/79/2 SEPA
Planning Modular/
MFG.Home
Fire a
Prevent.
0 •
Engineer
Other(Specify) v
(�� 7�J'/,
J_
Utilities 0
/0(13
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans 72_0,6 coPERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. i tz PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Buil ing
V)._2/(0)
IN 180 DAYS Q 9 p 2 0 _8 3ca
pp DATE ISSUED PERMIT9N2I.2, 7 2 * 6 0, 0 0 R AL
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