1983, 08-08 Permit: 83A-7474 Garage PLAN NUMBER APPLICATION/PERMIT [PERMIT NUMBER
SPOKANE COUNTY — DEPARTMLNT OF BUILDING & SAFETY 1 e5 -74774—
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. E CCO 4- 12T`'t 24533 "C4-1ti
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:�ertmott. -a.ov,..T CO r„, A .
2. (...6—E I "t• c -t,b' LO; 'Z 73 c-tc.L
OWNER PHONE PHONE
3. avlp le i•-) 5"34-G.6,e
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
. ( 0�4.- 1'2Tkt CACt l North ISouth Lbt East ',e; I West '14 t
D
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential V
4. SAw C. o x ca 45 Commercial 0
ADDRESS ZIP Type Const. Occupancy Sprinklered
A rvAE _I N (X-I
OYes ONo ❑Req'd.
DESIGNER PHONE Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. qt 4 � - S d4
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
50
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
,,�,/ No.Baths 1 No.Floors No.Fin.Rooms No.Dwellings
LJ
TYPE /NEW ❑ ALT. 1=1 AD'N. ❑ RPL. ❑ MVE. t - l
7. oF WORK I�7BLD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL El OTHER Certifi.of Exempt. Required Yes Not Number
or Variance Received YesD No❑
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
8.---De T tvc 1E 106_IRtZtackr 0.8Y- Yes❑ Not Applic.❑ Received ❑
VALUATION SOOUFCE GAS ELECTRIC PUBLIC WATER S PT CG Ownership FEES COLLECTED
9 UTILITIES PRIVATE fl SEWER❑ Public 1=1Private f?ir
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 C.0‘
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 Plumbing
SIGNATURE OF �l �� APPLICAT,ON G
OWNER OR AGENTS �C/G/G�� '—"42`— DATE .7� ,e5,./5„_3
� � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home
Prevent. d
O
Engineer
Other(Specify) V
W
J
Utilities Er-
-
L- TOTAL $ `°( 'Cti
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. iV PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
cBuildingIN 180 DAYS r-0 8 1'8�3` �, 7�4 z * 61. S,�,tn L
94a,
DATE ED PERMIT
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