1983, 09-06 Permit: 83A-8596 Garage PLAN NUMBER APPLICATION/PERMIT A PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY e''�7A 'e'l'%'
• . NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
C.... APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. •
1. . CQ 601 v--i� 2-4 ”7--- - ,u 3 4-
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. (6)N1 �Tll rI�
ONE
3. OWL' R r PHONE P5-34-'5o$
MAILING ADDRESS) Fj�1-4" Actual Set Backs in Feet to:
/2�I Z North 17G' (South 'East 44 I West 5
4. C�OF IS / LICENSE EXPIRES IsQfGJ� ����/= Size q�parcel Zor�eClassif tiQnrR- ntialU
L�R ��!'` N l j /y�ypv�i 1� j, !F�`f�l ' 0 Commercial❑
A r_ 0- �1 c. 1 ) ! .L Typvi . wY ❑Yes Spr❑Norte ❑Req'd.
DESIGNER PHONE Newst.Valuo n Remodeled Valuation Total Bldg.Floor Area
5 FIr 1 ADDRESS ZIP Main Upper Floors GarageStoLagg _ Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. u -
/ No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE
/NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK [ LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes❑ No❑
DESCRIBE WO �i '-I r� Shorelines/Flood Hazard Plans Required 0
8• �� Com+ ►V Yes❑ Not Applic.0 Received 0
VALUATION tt SOURCE GAS ELECTRIC WATER SEWAGE Ownership
9. OF PUBLIC SEPTIC Public 0 Private FEES COLLECTED
UTILITIES PRIVATE❑ SEWER❑
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 -25
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?g ¢3
OWNER OR AGENT` - l'/d « DATE 7 O Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health \O Qt (/,.
V`j SEPA
Planning
Modular/
Fire MFG.Home ).-
Prevent. d
O
Engineer Other(Specify) v
W
J
Utilities
TOTAL $
SEPA
Plans 179-k SIJ PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,THIS BECOMES A PERMIT.
Exam.
1 .1 LC' PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
h ing IN 180 DAYSe g'nI DATEn S9UEDo 6 8 5- PERMIQ bC.9' 6
* 5' 0 0 TAL
L- tsc,c7 'ZVS'bz '0N -,a?zi-vGt
• :-b tr'vz SZ NMo�
`.b-z„ aS •tY\ 47/1 • tY 'N S H
• t'^'s "1 p z' N
'bye ''i .i0 5€L 'M
•
ZiZ(ob
,s
''
•
sf�N
is 1x3 _ �/� ♦////
it 4I
./.
1 ,sty
5•,Z
ti
r
7 _ .11416i