1984, 04-02 Permit: 84A-2815 Carport PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 84"4°`"es'1 ----
NORTH
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. t` . 17ZQr - 4") NciSS-2--120 . * V
LOT SUB IVISION " r ', 0''
2 .� ,1 /+ P,Pu acau ev c i S-1- is
LEGAL DESCRIPTION:
OWNER PHONE P ONE
leT t-> "3-Ztr torec� --4.-315 ii
3 /..4.3/..4.3MAILING ADDRESS ZIP Actual Set Backs in Feet to:
C • 1-7 ZOO `3 rL° aad►C.... North -S ' ISouth G-' East \ - I West d-{]' ( _ _ !;
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential H
Yh `70 )C I z c) Q.Yh rt Commercial❑
4. ADDRESS ZIP T st. Occupancy Sprinklered
1.1rX.1 Ak l ❑Yes ❑No ❑Req'd.
DESIGNER PHONE Const.Valuation Remodeled Valuation Total Bldg.Floor Area
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
-3a-C>
CHANGE OF USE FROM TO Cover Deck Linty.Deck Fin.Basement Unf in.Basement
6. _
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE N''''EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 WORK " BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL El OTHER �ifi.ofExempt. Required Yes No❑ Number
or Variance Received Yes No
8.
DMZ WORK c� •
Shorelines/Flood Hazard Plans Required❑
p—r t6x,•2c) Yes Not Applic.❑ Received ❑
VALUATION SOOURCE GAS ELECTRIC WATER PUBLIC❑ SEPTIO'fD Ownership FEES COLLECTED
9. UTILITIES PRIVATE❑ 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 .
work will be complied with whether specified herein or not.The granting of a permit does not presume to give au- Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction.SEE REVERSE SI 9 E FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF , / APPLICATPpN "]J �j,,,
OWNER OR AGENT • .. _. ". s - _.... DATE (/1 c7( Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health L�
LW` t/2 SEPA
Planning
Modular/
Fire MFG.Home ).,
Prevent. 0
O
Engineer , Other(Specify) v
W
J_
Utilities 30 rte_
LL
TOTAL $ �c�
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans �� THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building (91'✓ IN 180 DAYS 44 - 2 3 4 �j1. 5 z 3 8.0 0 °�JJ�
Q DAT�ISSUEIP PERMIO. * �gTAL