1983, 11-02 Permit: 83B-1232 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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 PARCEL NO.
1• ET I I 4.o4 Y T14 MS 2114-2..— /62a
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. S 7 oF - L o-r 14- au)CIL.
OWNER PHONE PHONE 2, OP)' 5-T. Jo HNS• -- PT °F•
3. .)Ac4U1ELINIE PEbE,R5oh1 gz8-5122. Z.Ac:-T ,zoo
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
a. 1112,-3 -7 -4-k ?30,06, North 73, i south xl -r 3 5 sEast r 1 West 32. > /
CONTRACTOR LICENSE EXPIRES PHONE SizeofParcel�r )2 I ZoneClassificationResidential B-
D,E• SM I'r}} -6/2.8-299-1 -1 i ') 17 MAK-•—�'cj Commercial 0
4. ADDRESS ZIP/Ti y / C ZIIIPPy ^-� Type Const. Occupancy Sprinklered
g— 1�f 117-7 2-`t 1 1'T V E Ar E - o3 / V`14, g-3 ❑Yes OW ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. w3(cO - 2'{a
ZIP Ma
ADDRESS in Floor Upper Floors Garage/Storage Greenhouse
24-o
CHANGE OF USE FROM TO Cover Deck ' Uncv.Deck Fin.Basement Unf in.Basement
6. )Z.0 ,
/ No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE CI NEW ❑ ALT. Q'AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER 1
WORK V "`D. " ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL oCrvarianExempt. Required Yes❑ No❑ Number
Received Yes No❑
DESCRIBE WORK / Shorelines/Flood Hazard Plans Require
8. ADprnC O I4ESiPlENc.. CKrrc. ¢1,4411,41 I Do \ Yes❑ Not Applic.0 Received
VALUATION SOURCE GAS ELECTRIC WATER SEWA E Ownership 7 FEES COLLECTED
9• UTILLIITIES PUBLIC 0 SEPTIC❑ Public❑Private
PRIVATE❑ SEWER❑
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on 00
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building �`j�5"_f
work will be complied with whether specified e :in or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of .ny o er . ate or local law regulating construction or the performance
of construction.SEE REVE S,' IR R:QUI. r SPECTIONS Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT =i 4►4��` DATE Mech.
w.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE L[CeNS - €XP) E.D -m. egiNG IN Col Plan Check
Env.Health f fO s s-ii (-)K. 7-7 )MP ) SEPA
iee
Planning Modular/
MFG.Home a
Fire 0
Prevent. v
Other(Specify) 1.11Engineer —I
oV `-
Utilities 5
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans /!.,/ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. 'CC PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED i 1 (� 1 S
Building ,_,.- j./ IN 180 DAYS DATE1SSUED' 2 —8 i PERMr1'N .-5. 2 z * J O 0 IId rAL
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