1983, 05-03 Permit: 83A-3599 Pool PLAN NUMBER APPL ICAT ION/PERM IT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY 0 '3597'
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1 STREET ADDRESS h PARCEL NO-14 . 2 354 C'
SO 7
LOT BLOCK S1J Di�rl � LEGAL DESCRIPTION:
2. ' I`i " fr--- Avbi'(,
OWN �/ i � I PHONE �PHONE
3. M' (ARES I. �` f —I 'V ZIP 2- �~ Actual Set Backs In Feet to:
E7 - �1 � 1 North I 'South East I West
CONT ACCT '� LICENSE EXPIRES Sp1 Size of Parcel Zone Classificatin Residential2
Y I vl oN r7L✓ ! `TtC U�G I x L�&- r� C�, Commercial❑
4. AD RESS ZIP Type nst. Occup n y Sprinklered
• I++I wZIP 2.1j jr`'� ❑Yes 0 N ❑Req a.
DESIGNER � PFI NE ' New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck ' Uncv.Deck Fin.Basement Unfin.Basement
6.
TYPEEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No.Baths No.Floors No.Fin.Rooms No.Dwellings
7. OF WORK ❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 2.-6)(:)L ❑ OTHER Certifi.of Exempt. Required Yes❑ No❑ Number
IN]
or Variance Received Yes 0 No❑
DESCRIBE ONI NI I- f (2Lj Shorelines/Flood Hazard Plans Required 0
8. N l F// Yes❑ Not Applic.0 Received ❑
VALUATION SOURCEDGAS ELECTRIC PUBLIC B' EPTICG❑ Ownership FEES COLLECTED
9. r� Public❑Private❑
�C0 0 UTILITIES PRIVATE 0 SEWER 0
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
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 REV SE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNATURE OF - APPLICATIO
OWNER OR AGENT DATE i/=3'3 Mech.
' SPECIAL APPROVALS SPECIAL CONDIT ONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
W441 ,i 1g7 SEPA
Planning Modular/
Fire MFG.Home ›-
a
Prevent. ,/ 0
Engineer Other(Spaeciffy) .. 7 W
Utilities LL
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED (��.,�r,,
Building IN 180 DAYS DATE — PERMIT
Tech. (�_ �3 9, 9 z * 2 5. 0 pVIAL
r----
_
1
1
I
I ,
„ I
. 1
: i 9-7 -•5(--A /I
'='
1 ,01 .
1
, _
J ..a, , ' -C .j'Cri
A ••• . ,
V , •
/ 1 , / > . P f imarial'og
1 v
,c£ I I I
0
/ SN
/ I
I 1
yt -7 )"< b/ / ,S--)-
I s,e
I
//
ZA
I osl
I ' 0
I -
-ajw.A2 ri• i
V
d ‘90',g I I
1
1 1 I
,
1
C i V,)/7,. doit1/4/
(..,
/ V
75-7-„D------ ----
1‘ SoBt`' 7 i
. .„.._. -
1