1983, 03-16 Permit: 83A-1935 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 114 '143';-
VNORTH 811 JEFFERSON/SPOKANE,WASHMITON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E . 14.6.1 t 0z tA 2* - A-4- -4-
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. e l SNOo 's A>:30, t-f_arJ
OWNER PHONE PHONE
L041-0-'t C�a-r— cr o a�a-\4a
3. MAILING ADDRESS ZIP Actual Set Backs in Feet to:
C . 1412,1` .- tp-cv. ClekC:5.3-7 North ISouth 30, East I West tom' 01.(o.j,
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential e
6 Q,C7X 14-(J Z-1 Commercial El4. ADDRESS ZIP Type Const. Occupancy Sprinklered
SgYrir,5 ao Wt.-k ❑Yes ❑No ❑Req'd. _ -
DESIGNER PHONE ;Const.Valuation Remodeled Valuation Total Bldg.Floor Area
t1 762S
5. ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
,,,/ No.Baths No.Floors N).Fin.Rooms No.Dwellings
TYPE IJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. "o.... L l t
7, OF ❑ OTHER
WORK CB�BLD. ❑ PLMB. ID MECH. ❑ M.H. El POOL ovariof Exempt. Required Yes Not/ Number
Received Yes No❑
DESCRIBE WORK ,,.,� Shorelines/Flood Hazard Plans Required❑
8. -"- T O t�jitNe_A(..lt. (.-xx. Yes Not Applic.❑ Received ❑
VALUATION i SOURCE GAS ELECTRIC WATER SEWAGE Ownership / FEES COLLECTED
9 OF
PRIVATE❑ SEWER❑ d
UTILITIES 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 4" '-TS,Oc'
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 p ovisions of any other state or local law regulating construction or the performance
of construction.SEE REVER . IDE FOR REOUI':D I PECTIONS Plumbing
SIGNATURE OF WV"' APPLICATI N
OWNER OR AGEN • ��e TE --/ -e3NPMech.
' SPECIAL APPROVALS AL i CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
VIA �'I6f- SEPA
Planning f Modular/
MFG.Home
Fire a
Prevent. ( \] C
Engineer �I �* h'I`A`34.-(e• y Q(/( ��G n ��� "� Other(Specify) J
lib s2) I ' - LFA \J
Utilities i£Y
TOTAL $ `dam
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
PlansPERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam.
g2.-1,0 '; PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building 4,3
IN 180 DAYS j —1 6 8 3 30 5z * 7 5, 0 0 ° '
Tech. DATE ISSUED PERMIT NO. 1� AL
/
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