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1984, 03-12 Permit: 84A-2105 Garage PLAN NUMBER APPLICATION/PERMIT PERMIITNUMBER • SPaKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY f'I -;1101-7 NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. 4521 - W— LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: 2. OWNER PHONE PHONE 3. R-P�pIP A 1..„ . MCM IGHQ►�� 535—(►3 0 MAILING ADDRESS ZIP ZIP Actual Set Bac in Feet to: '3.3 , r'^ 7y-' -'/ ,r - _. North ISo t '(�I�1 .I West CONTRACTOR Si .� LICENSE EXPIRES PHONE Size of ParcelX 1 O0) ZonQ ClassiA tion Residential 4. ADDRESS s ZIP TypeeC�o✓=-fin;fit. !` � `y /Q`,`r❑�Y'es Sprinklered❑No ❑Req'd. Y N _ DESIGNER PHONE Const.Valuation 0 0 Remodeled Valuation Total Bldg.Floor Area ADDRESS ZIP Main Floor Upper Floors Garagg/Stor ge Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement r? * �: c'. 0 0 6. No.Baths No.Floors No.Fin.Rooms No.Dwellings " L ` 00 TYPE j+NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF ❑ OTHER I ' WORK ] .BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number a f�f�,� or Variance Received Yes❑ No❑ G 1 ,1 /� -- Required o 8. DESCRIBE WORK 2iI l d cs::„A r'F�6-' oN 5, -f YesShorelines/Flood plic.azar❑d Plans Received ❑ ( — VALUATION SOURCE GAS V I i ELECTRIC WAT(E,R�'�'� SEWAownership 9 0„ OF PUBLIC SEPTI . Public CI Private FEES COLLECTED 5/OC. UTILITIES PRIVAT SEWEffii❑ 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 02, o— 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 OFm�^ii"' d? ` APPLICATION . t OWNER OR AGEN ° - - ` DATE /.2 e Mach. SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE) Plan Check PRELIM. FINAL DATE /€nv.Health � !j �/ PL. /12. SEPA Planning Modular/ MFG.Home Fire d Prevent. p Y Engineer 101, Other(Specify) IM Utilities TOTAL $ SEPA 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 Building IN 180 DAYS 0 3 -1 2 -3 * 2 Tech. DATE ISSUED PERMIT O.O° o L° O O ff/ TOTAL I . , I 4 - ; I . , tI ---•- _.------ I I, -1 1 4 _ k , 0 V r c; c ' a‘ 1 , 1 , c.:0. j....)L, . e-(k, -- 4,52AHVc' ,AISjwe:::)61,A i to n . I i . ‘ I ft 1 P 1 ' G -. ? .) 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