1983, 07-21 Permit: 83A-6777 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY 03A '(/?77
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/ (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 6724 9th.
I
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. (off fir?- Rd.)
OWNER ,-fait Tte;l PHOT _472/2 PHONE
.
3.
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
Sallie North I South I East I West
CONTRACTOR LIC IEq.,TRES PHONE Size of Parcel Zone Classification Residential E 0 4* * 2 0 0 0
11e�% ro�1 Gf l �
072-273 . Commercial 17
4. ADDRESS ZIP Type Const. Occupancy Sprinklered * 2 O.0,0 6
16610 Sprague Veradale ❑Yes ❑No ❑Raga.
A * 0:00 8
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. Contr. Zicsense :" _
-S26T31 - 6 7 7,6
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse _)%—2 1 —3 3
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement _'? 6 4 7 9,
6.
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. ❑ POOL wvariance empt. Required YesNoD Number
Received Yes No❑
DESCRIBE WORK 1" "11 F?_ZC .-t:.T CO t t tOV J Shorelines/Flood Hazard Plans Required❑
8. .earth Yes Not Applic.❑ Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9. OF
UTILITIES PUBLIC CIPRIVATE CI SEPTIC
CISEWER❑ 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 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
SIGNATURE OF APPLICATION ....„. ' •i 7-.:•-,-,:-
OWNER OR AGENT CO F f,,QA, .1 'A . 044,0 �; DATE Mech. `
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home >-
Fire a
Prevent. 0
Engineer Other(Specify) C.)
w
g J
Utilities LL
TOTAL $ 2,0
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. yt
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
/ •Y
Building IN 180 DAYS 4-7 2 O O O
Tech. �R' DATE ISSUEDO �^-8 PERMIT NO: �. � 2 * L