1983, 06-28 Permit: 83A-5899 Garage Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER '
SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY 2,`34-52,(11
(' . . • NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 •
'i'' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. `
w tiCC
1. C. '13`SD- G7-r A -z.-2-54.1/4— al t , 0
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: - L
2. 3 PAcoexs s;xi3Ut23Ary .µe,�,r.e5
OWNER PHONE PHONE j 4 7 9
3. ao ‘,--72.,2t-kT a2A-$8 LA.
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
E . V3 S'-,dr (6.--r H Cleo.t(, North 'South'Z:i„vn East I West 31
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential
r, � S-'X 1.40 A,Qeztx (4�1 Commercial❑
4. ADDRESS ZIP Type Const. Occupancy Sprinklered •
' iczt• �N FA—N DYes ❑No ❑Req'd.
DESIGNER PHONE New Const.� Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor_
` / Upper Floors Garage/Storage G eenDuse -
&4O
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ EW ❑ ALT. LPiAD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER /
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes NoM Number
WORK or VarianceReceived Yes No❑ -
-
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8. ADD i Tcb -r0 GA(2.1 t (t CW-4) Yes❑ Not Applic.❑ Received ❑
VALUATION SOURCEDGAS ELECTRIC WATER/ SEWAGE/ Ownership FEES COLLECTED
9. PUBLIC 0 SEPTIC f2,
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 Building 4O-WO
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 y, 1 .. j APPLICATIQ G, )
OWNER OR AGENT' �•_ _ _ e
au -- - DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. F NAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home }. .
FireO.
Prevent. O
Engineer Other(Specify) W
9 J
Utilities LT_TOTAL $ "'t'0•
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. NIA PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED S Q.9. 9 n
Budding IN 180 DAYS $UED2z * 4 a a a $OITAL
Tech. gilt),
(°��71�(�p,� 4�/�QI DATEq 8 8 PERMITU.—
1\k:416'011j:16% A
J-7'61,2644 rA,
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