1983, 04-06 Permit: 83A-2674 GaragePLAN NUMBER
r
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. C 5
LOT
2.
BLOCK
SUBDIVISION
GA2rvikOPE AA,T,.cr'
OWNER
3. i'.1" --z)
PHONE
PHONE
PARCEL NO.
LEGAL DESCRIPTION:
MAILING ADDRESS
L.r 44 1/4-s
6.1" \-4
ZIP
CicA
Actual Set Backs in Feet to:
North 2 7 (South
CONTRACTOR
4
ADDRESS
OS
LICENSE EXPIRES
PHONE
S34 —`{3c -
Size of Parcel
I Cr: k t 7-C.
East (a"7 I West 3'
Residential P
Commercial E
Zone Classification
ZIP
GIGt-ZC a
TypeeConst.
Occupancy
Sprinklered
=Yes No ❑Req'd.
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
PHONE
ZIP
TO
TYPEEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF
WORK L' BLD. ❑ PLMB. ElMECH. I=M.H. E POOL
❑ OTHER
Ngw Const. Valuation
4•1 Ca CoCjin
Remode ed Valuation
Main Floor
Upper Floors
Garage/Storage
it 1- c c'
Total Bldg. Floor Area
Greenhouse
Cover Deck Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
No. Fin. Rooms
Required Yes. No/
Received YesE No";
DESCRIBE WORK J
8. cac� �+= 0 Ch Al2_ E L'7 C x -x 4-G)
Shorelines/Flood Hazard
Yes C Not Applic. ❑
VALUATION
9.
SOURCE
F
UTILLIITIES
GAS ELECTRIC
WATER
PUBLIC C
PRIVATE
SEWAGE
SEPTIC
SEWER C,
Ownership
Public ❑ Private V/
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-
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 I SPECTIONS
SIGNATURE OF APPLICATION
OWNER OR AGE
DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Hre
Prevent.
Engineer
Utilities
TEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITI : 'S: (SEE REVERSE SIDE FOR NOTICE) 1
44/83
-Pc_YNNj o... 1 --'cur PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
No. Dwellings
Number
Plans Required
Received V
FEES COLLECTED
Building CAL .C2O
Plumbing
Meeh.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ � `
PERMIT NUMBER
v -5r1 - 24974
'''* *9,00
(396.01 0
87.00
26
04-C6-83
6.4 7 9.
2* *9600
*96006
A *000 8
'67.32
04-C6-83
6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
rlQt Rz �j
DATEr 4 EDo 6 — / PERMIT2O. 7, 4
*9 6.0OTOTAL