1984, 03-06 Permit: 84A-1873 Residence PLAN NUMBER APPL ICAT1ON/PERMIT PERMIT NUMBER
SPOKANE COUNTY - 'DEPARTMENT OF BUILDING It SAFETY g - 1 B1 5
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
l' /430 ? ‘ liAvg . 2,-3 1:-.;1--..2. -, I G
n LOT BLOCK I�jSUBDIVIISIOON / / �'fA LEGAL DESCRIPTION:
` 2. 1// CT !J $sal,,r',L! /L- 79`//7
OWNER PHONE/ PHONE n
3. ')I!Pc 4Assac �-..,, %7_`Y-7(/ -1-7^&<2:1- 1. c'or4 P/4 1- 7r -//' l
MAILING ADDRESS 1 ZIP Actual Set Backs in Feet to:
An, if,'4 11/70p J('fan Ne,,C s,. 9 q Z/Y North .7(e" I South 3r) I East Shy I West
CONTRACTOR // LICENSE EXPIRES PHONE Size of Parcel Zo Classificltion Residential
4. Li),.f?.c. v ic...0 C. T., . 9 4 X / 3 0 l� ,V1{17: Commercial❑
ADDRESS ZIP Ty st. Occupancy Sprinklered
P\•e(I. V1, {��" //QYM ❑Yes Klo 'Meg'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. � 2-G0-
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse ,
/2-3 —sem'
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. /y3K
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 'NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. /��/
7. OF El OTHER
WORK .BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL Certifi.of Exempt. Required Yes Nd< Number
or Variance Received Yes❑ No❑
DESCRIBE WORK / /� Shorelines/Flood Hazard Plans Required❑
8. S.v1 ,/ C ^2Mi !y As. 3/'Gam •7-oo-- ,t,, • Yes❑ Not Applic.X Received„Nr„
VALUATION SOURCE GAS ELECTRIC PUBLIC'i+� SEPTIC", Ownership FEES COLLECTED
9. UTILITIES ✓nay it... 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 '7�--
Building
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 .. ___", APPLICAT
OWNER OR AGENT -e.---, --. — DATE cJ /j f92 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health 4����� 7/
SEPA
Planning
Modular/
Fire MFG.Home �-
Prevent. a
O
Engineer �.�p , s Other(Specify) W
V'
�r r�
Utilities �(-
TOTAL $ �"
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans -- "- /i', �� THIS BECOMES A PERMIT.
Exam. l f....._ �f�f PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building / ((�� ��jj ~_ (� 11 QQ
Tech. 3/a I N 180 DAYS DATE'1SSUED 6 —8 4 PERMIT�Nf�.7. 3 a * 3 5 4 0 0 SAL
.. ... -_
,....
U7"
" -,7
L „ -
.----
....
(-
/4 ii/.1/ Fa ;6-9 -----.
.7) 0 h /
. ,
00 '
0 0 ,
_.....
;,---
+ ! ,
i 1
I ,
1 ks• :
I ----- '
, Tin 1 zy ci
1 i i
I
i 1 11
1 0' I r."1
i 1
I 1
1 .--...,,....,.....
..1
1 .
1 1
i
1 1 7 eg
(2C '
_ -
,.... -...
0 r
I
i
I i !
I ,
1, I
1 ,
1 ,
1 1- ,
,
I
,
i
1 :In .
i1 __, _.____._ ,.____.____
i„ .,.. /,..,, 1
,
,
i i
I I
t '
I .....4.**. ..__ .- - - -
... -
i
;
1 .
1 ,
_d_ ....
\z”
iiNi , .