Pines N 110 Washington Trust Bank Addn PERM
~V~ BE~.r~CJ APPLICATI4N/PERMIT ITNUMBER
SPOKANE C4UNTY - DEPARTMENT OF BUILD{NG & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 I(509) 456-3815
;
APPLICANT: COMPLETE NllMBEREO SPACES - PRESS HARD TO MAKE 3 COflIES 0 0
STREETAODAESS PARCEL N0, L* 1~ rA 00~
Lor BLOCK SUBDIVISION LEGAL DESCRIPTION: ~
QWNER PHONE PHONE 5
3. _~j 55-ytZZ oPP-6~EwS~S 8/S~ : g~ Gs-i 2-83
MAILING ADORESS ZIp Attual Set Bedct in Feel to: r6479
~f~'5 Nar1A ISOUth IEaet ~ Weel I .
CONTRACTOR LICENSE EXPIRES PHdNE SimOf Pwoel Z`;jryrejCj Cl~lflCallon pmldenll~l ❑ le" 00
~ C t~ z.-34 4`~co ~ M ~ cwvrciei * l 2 C 0 4" ,
A E S S ZIP TypeOonet. Oocupancy Sprlnklered
-
q(l Z,ot) OYee DNO ORep d.
DESIGNfR PHONE NewCaat. Voluatlan Remodeled Valuatlon T018181dp. FloafArBB
~ W IJ~~C~1AlPC'~U.4''a ~ F336' P~~y7 7
ADDAESS IP Maln Floor Upper Floaa GarapeJStaefle GreenAouse
321 ~y ►ko~s $le~~, ~G `L.0 ~ '
CHANGE OF USE FROM Q TO Cover Dadc Uncv. Declc Fln. Baeement Unfln. 8aeemenl 7 r
~ No. 8eths No, Fioon No. Fln. Rooma No. Dwellirpa
TYPE 7BLD. y1/ 21 ALT. 0 AO' N. 7 RPL. ~ MVE.
• OF C PIMB. ❑ MECH. ❑ M,H. 0 POOL 0 OTHER Cortiri.of ExafnPt, paqulred Yeea N Number
WORK a Vrlanoe
Reoeived Yee❑ N
DESCaIBE WORK ShaellneelFbod Hwrd Plaro ~ Required Z/
TEuzE- un t~___Sr Q_k ~ S~¢. uao~,L~.S Yeea Nol Applk, o Receivea d
VA L~Q S Op~ C E G A S E L E C T R I C pUBLIC 0 SEPTIC ~ ~ h~p
~ ~ Q/ FEES COLIECTED
UTILITIES PRIVATE Q SEWER ❑ ~D~Ic 0 Prlvete
~
I hereby certity that I have read and examined Ihis application and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and_correct. All provfsions of laws and ordinances poverning thls type of guud~np ~ v~
work wfll be complied wit e er ` ified here' or not. The granting of a permit does not presume to give au-
thority to violate or ca I ihe pro isi ns of any her state or locai law regulating construction or the performance
of constructfon. SEE EVEFiSE D FOR RE I EO INSPECTIONS Plumbinp
SIGNATURE OF APPLICATION
OWNER OR AGENT - ' DATE Mech.
SPECIAL APPROVAIS ' SPE9AL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PREI{M. DATE
nv. Flealth
f
SEPA
iannlnq
Modularl
ra MFO.Home
-evern. a
O
npinew Olher (Specify) V
W
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TOTAL 35
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:PA
WHEN MACHINE VALIDATED IN THIS SPACE,
3,d PERMIT IS NONTRANSFERABIE THIS BECOMES A PERMIT.
Am PERMIT IS NUII AND VOID IF WORK HAS NOT COMMENCED
,ilainq IN 180 pAYS
~ DATE ISSUEO PERMIT N0. TOTAI
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PLAN NUMBER IkPPLICATION /PERMIT PERMIT NUM9ER ~
~
SPOKANE COUNTY - DEPARTMEHT OF BUILDING & SAFETY ~
r
AL
NORTH 811 JEFFERSON I SPQKANE, WASHINQT011 992601 (50) 15&3675 I
APPLICANT: COMPIETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
srREEraooRESS PARCEL N0.
1. ~I
Q .3 e-4C o<,
L07 eIOCK SUBDIVI310N LEGAL DESCRIPTION:
OWNER PHONE PHONE
, - 8S
a,eEZ~ s /
%jU_y1ZZ
~PP S~
8
-
3.
MAIIING AODRE33 ZIp Achurl SM 9aclu In FNf to:
1 Nath SouM Ert Weet
CONTRACTOR LICENSE EXPIRES PHONE Siaea PeroM CIaNillquon pNjdentlal ❑
~~L~`~ ~IBI I I rrwU A
4.
A ES3 ZIP Type Onnel. OocupMncy Sprlnklered
7 r,T1 ❑YN ❑No `Req'0.
'r'~rL.~!
DESI(3NEfi PHONE NowOoM. Valustlan RlrnodMed Val wtlon Total Bldq. fioar Aree
' 838 • S Z4-0
5.
ADORESS P Mefn Flaor Uppu Flaoa OrpGlSiaMW Gnenliowe
3z 1 .G zo
~
CHANGE OF USE FROM TO Oowr Oedc Uncv. Doclt Fin. BMement Unfin. Baeamenl
6.
~
TYPE no. 9~nr Ho. Floa~ Ho. Fln. roonu No. owe+nrpe
A R W !~LA T. 0 D'N. ❑ PL. ❑ MVE.
7• OF 0 OTHER
qd rMo M►moa
WOAK K 7BLD. ❑ PLMB. 0 MECH. 0 M.H. C POOL cortnt.afEiama. Re~,+n
a Vwina ReoN+ad YNO N
OESCRIBE WOAK 9NOrNIrMrlFloOd Haurd PI" ~ Requirod ~
8. hl S YeeC NolApplic. ❑ Reoeived ~
~
VALUATION SOURCE GAS ELECTRIC 1NATER SEWAGE pwrwrahlp FEE8 COLLECTED
OF PUBIIC 0 SEPTIC C ~
9• UTILITIES PRIVATE 0 SEVYER C 0 privaw 13
~
I hereby certlty that I have reed and examined thia application and have read the 'NOTICE' provisiona Included on
reverse side, and know the aame to be true and correct. All provialona of laws and ordinancee qovernlng thla type of
wak wlll be comPlied with whether aP~If led hereln or not. The 9rantin9 of a P~ mit does not Preeume to 9Ive au- B"
thority to violate or cancel the provislans oi any other state or local Iaw requletinq conatructlon or Me performunce
of conatructlon. SEE REVERSE SIDE FOR REOUIRED INSPECT10N8 Plumbinq
SIGNATURE OF APPLICATION
dWNER OR AGENT OATE MMcn.
SPECIAL APPROVALS SPEClAL CONDITIONS: (SEE REVERSE SIOE FOR NOTICE)
Plan CJ*ck
PREIIM. EIALAL OATE
U Env, Hulth
T1
/ SEPA
Pl~nnlnp
~ Modular1
1
FW* WG. Hai, 31-
p. ~ CL
~ O
n
E ISDwhI v
W
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UtN111~1 ~
TOTAL s ;
SEPA ~
WHEM MACHINE YALIDATEO IN THIS SPACE,
PWM PERMR IS NONTRANBFERASLE THf8 dECOMES A PERMIT.
Exwn' PERMIT IS NUII AND VOID IF WORK HAS NOT COMMENCED
I "~'q 1N 190 DAY3
TicA. QATE Iflt!!D PEIIMIT M0.
TOrAI