1983, 07-25 Permit: 83A-6929 Garage PLAN NUMBER APPLICATION/PERMIT ' PERMIT NUMBER
- SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY . , a3A - ro ..2`k
C- NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 7313 -3 1,55-2 - -
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: " ` .< ��
OW ER •N PHONE
3. 1- �1 LJ - x''1'1 �. •Z- 717] 7 - : -
MAILING ADDRESS 2 Z Actual Set Backs in Feet to: i F , ,
_ (Thl ✓ `J/ ' �11 North 'South f 1 East I West115' /
CONT CTQR LICENSE EXPIRES (HONE Size of Parcel ` Zone Cl s''cation Residential of
A/I i 11,� 6. Commercial❑
4. ADDRESS"� ZIP TypeC /JAl Occnagy Sprinklered
❑Yes OW ❑Reg'd. i
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. -
ADDRESS ZIP Main Floor Upper Floors Garaggee//Stpr Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck . Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE .i'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ---
7• OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes❑ No El Number ii
or Variance Received Yes LI No❑
DESCRIB W K y� Shorelines/Flood Hazard Plans Required D
8. `�✓ YesE Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER/ SEWAGE/ Ownership FEES COLLECTED
OF PUBLIC SEPTIC
9• UTILITIES PRIVATE❑ SEWER E 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 v
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 REVER E SIDE FOR REQUIRED INSPECTI,' S Plumbing
SIGNATURE OFjr / APPLICATIO , /
OWNER OR AGEN /id tF I/id DATE /, . ,..i., _a SMID Mech.
SPECIAL APPROVALS ' -ECIAL CONDITIOP: (SEE REVERSE SIDE FOR N i ICE I
Plan Check
PRELIM. FINAL DATE
Env.Health /
W Ay -lig SEPA
Planning JJJJ Modular/
MFG.Home >-,
Fire 0..
Prevent. p
Engineer Other(Specify) W
9 ,' J
Utilities LL
N£C.o i 4l12. rte wA - c•N p.p.lAc:En,-t' TOTAL $
SEPA L.)A1...- T6 Zi:-tp taC...z.
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 ((�� 77 z /� Q 9
Tech ung 7 ,, IN 180 DAYS DATE}SSUED2 5 -8 3 PERMIT NO. 2. z * 5 4. 0 0 ,IAL
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