1983, 04-21 Permit: 83A-3136 GaragePLAN NUMBER
APPLIICATIOP'/PERM IT
SPOKANE COUNTY - DEPARTM N r OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
STREET ADDRESS
1.
LOT BL
2.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
5TH
3. --Ian 4 VJ
SUBDIVISION
f -N pi f {4T 2 -Ni•
OWNERPHONE
MAILING ADDS IS1 �-
4. ADDRESS
CO.LVTRCT0
LICENSE EXPIRES
DESIGNER
5.
ADDRESS
6.
CHANGE OF USE FROM
TYPE 4EW
7• OF
WORK BLD.
PARCEL NO.
"z-+51 - 3 b
LEGAL DESCRIPTION: 5 I LL I 3 r5
Au, Go -r' 3Cv 37
Actual Set Backs in Feet to:
Arl .--(5)& North I I
PHONE
ZIP
PHONE
ZIP
TO
❑ ALT. 0 AD' N. 0 RPL. 0 MVE.
0 OTHER
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
South
Size ofcel
G' !7`'>4; 1 7
Type
V
[East 1 1 West
Zone Classif ation
(,N t
Residential
Commercial ❑
Occu.: y Sprinkiered
❑Yes ❑No Req 'd.
New Cgnst. Valuation
Main FI
Remode ed Valuation
Upper Floors Garage//Storage
44�
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Total Bldg. Floor Area
Fin. Basement
Greenhouse
No. Fin. Rooms
Certif1. of Exempt. Required Yes
Received Yea ❑
or Variance
No❑
No❑
Unfin. Basement
No. Dwellings
Number
DESCRIBE WORK
VALUATION
9.
SOURCE
UTI LLIITI ES
GAS
Shorelines/Flood Hazard
Yes❑ Not Appllc. ❑
ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEWAG
SEPTIC
SEWER 0
Ownership
Public 0 Private
I hereby certify that I have read and examined this appl'cation 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-
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
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE y —may –Gr -j-'
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
-w
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
01;o 1.40L1R C! dof hi Uj I
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required 121
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
61
TOTAL $
PERMIT NUMBER
831+
i2*
2°38�
G4=14-83
6479.
O.
O
V
W
1
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE; 1 8 3
PERMITN6 3. 6 5 *610.0 TOTAL