1983, 07-20 Permit: 83A-6737 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 5-5A – (0-73–/
C---"NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. COTS I1 i.. 2�} S3L4 \�O8 * o
LOT BLOCKBDIVISION �A�T LEGAL_ DESCRIPTION: * C.
2. 8 IIS L u ct 1 ,
3.
OWNER__.
_J Ar E.S. /((� �Iv PHONE ONE �; /
MAILING ADDRESSIP Actual Set Backs in Feet to:
CQ- 1 OS E I '` 94-LQC.,7 North 5 1 (South East West -_ ? s
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Closification Residential
4. N �A.,A S14- _ .. 3c-f-S"►So *7 S 7'1 . S -z_ Commercial❑
•
ADDRESS '^^ ZIP (+ N Type Const. Occu ncy Sprinklered
E-(02•�� *)t4►4"EdT 1—l2Zp Le \) ❑Yes 0 N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. '5-7 Co 0 7Z-0
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
", + . 1 Z 0 —
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Oasement Unf in.Basement
6. -
/ No.Baths No.Floors (k\ No.Fin.Rooms No.Dwellings
TYPE EY'N 0 ALT. 0 AD N. 0 RPL. 0 MVE.7. OF ❑ OTHER
WORK 0 PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.of Exempt. Requ red Yest / NoC•� Nu ber Q.�
or Variance Received Yes No❑ \04`B
8. DESCRIBE WORK 1p,�_ J� (� Shorelines/Flood Hazard Plans Required❑
1)E-T N+ED 6A e_._ -2.-'4 Y 3�� SEWAGE Yes❑ Not Applic..8� Received ❑
VALUATION SOURCEDGAS ELECTRIC WAPUBTER
❑ SEPTIC . Ownership FEES COLLECTED
9 F
UTILITIES PRIVATE❑ SEWER❑ 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 CQS —
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building
thority to violate or can =I the provisions of any other state or local law regulating construction or the performance
of construction. j4-41414;,14A IDE FOR REQ IR D INSPEC a NS Plumbing
SIGNATURE O' / APPLICATION
//�_
OWNER OR AG- T Ar_.I!i' .r DATE �L '�l `� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEt -EVERSE SIDE FOR NOTICE)
r' Plan CheckPRELIM. FINAL DATE
Env.Health VA*
v 1lilP' IZ 1"14 CX f� IV'91 Ni 9 (r-LechiKtr\I
) SEPA
Planning 0�pp
N1 Modular/
Fire MFG.Home
Prevent. d
0
Engineer Other(Specify) v
W
J
Utilities LL
SEPA
TOTAL $ ��'
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans /" PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. TF (01 IO PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech ing I' IN 180 DAYS r y
DATE(?.1.1602 0 —8 3 PERMIT 6O7 3 7 5 * 6 8. 0 O$T L