1983, 05-11 Permit: 83A-3912 GarageNUMBER
STRE�F(ADDRESS
1.
10
1-01, 1 BLOCK
2.
3.D NYKC
MA?NGADUDRiC
OONT
A A hI 2'
DESIGNER
.5. ADDRESS
■
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99280 / (509)456-3675
)MPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
PARCEL NO. 7t�✓7 n -Q- -0E;j.C_
EXPIRES
PHONE
21P Iowl Floor
PERMIT NUMBER
SSAO_37lz
O � � iv`(7 • oma,
FJ`(gj • 0. 0..
; L O
r, w.t �
18891f1 tlm
r
(Ty.$pinY(Ty.pNdNo pRe1'd.
non Total Bldg. Hmr Area
fJo, e�
stm Greenhooee
6. CHANGE OF USE FROM TO
CO+er Luck
UW¢Axk
Fir. Basement Unfin. Reamenl
TYPE ANEW ❑ALT. ❑ AD'N. ❑RPL. ❑ MVE.
No. flat. No.
Floors
No. FIn. Rmma
No, Oaellings
'.�
7 OTHER
WORK IdB/OF LD. ❑ PLMB. EJ MECH. ❑ M.H. ❑ POOL
camni.wExempt. Required
Y.0 No❑
Numoer
avad. Receive]
Y.❑ Noll
I
OE BIB�DRIIfySlwrellr,.IFlmd
B'/(Y.❑
Harard
Meru fbpulretl❑
NM Applic.❑
Ree lve� C
VALUATOTRIC
RGOwnership
FEES COLLECTED
PRIVAT ❑
SEWE ❑
PAllc❑Ptivale
-
I hereby certify that 1 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 a provisions of any other state or local law regulating construction or the performance
of construction. SEE RE 5 51 E FOR REGUIRED INSP CTIONS
Momemp
SIGNATUREOF APPLICATION
-03
OWNERORAGE DATE
man.
SPECIAL APPFIOYALS
SPECIAL CONDITIONS: (SEE REVERSESIDE FOR NOTICE)
PRELIM. FINAL GATE
Plan Ch.k
Env. Hmph
s47_
1MW
SEPA
Planning
Mol
Fire
MFG . Home
y
Reuent
Q.
Engineer
Other(Sl.dly)
w
it I.
TOTAL 9
LL
SEPA
IN
THIS SPACE,
HansPERMIT
IS NONTRANSFERABLE
HHISB COMES A PERM TMACHINETED
F'am.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
T
Z
IN 180 DAYS
.1i 1. 2
u
A 60Q
PERMIT,
TOTAL
COOK BROTHERS CONTRACTING 'OB
TaeFf bCe;/viE E-/n/og g=°
Route 2 Box 853 B SHEET NO OF 9?fi-04J�1
OTIS ORCHARDS, WA 99027
(509) 924-1557 CALCULATED By Dere
CHECKED BY DATE