1983, 02-18 Permit: 83A-1191 Carport PLAN NUMBER APPL ICAT ION/PERM IT - PERMIT NUMBER
01 SPOKANE COUNTY — DEPARTMENT-OF„BUILDING & SAFETY33A �1��{l
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. . ►3- 101. --ni' z 4 -� 14 I
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: :,
2.
OWNER PHONE PHONE W 2.4 4 ET(� . ` 1. U 0 .,_
Tik a:01J A'k 1 T c.,iAl.:e>S- ei. .gk-3-3".r-,
3 MAILING ADDRESS ZIP Actual Set Backs in Feet to: l'
C C3-- ..c....) \ - Gi(( North 'South ftb 1 East (�c `West 1 I -
�. 'M “..
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential) /
Gam' 1111 12,0 1(05 A 4 la..\ Commercial❑ _ )
4. E
ADDRESS ZIP Type Const. Occupancy Sprinklered
O ❑Yes ❑No ❑Req'd. _ /- Ll 7 c
DESIGNERTSPHONE ►NewConst.Valuation Remodeled Valuation Total Bldg.Floor Area
5. mit-7c1 4443ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
446
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. .._.
� No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE El NEW ❑ ALT. V AD'N. ❑ RPL. ❑ MVE. — i
7. OF �/ ❑ OTHER
WORK N 4LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL orari.oExempt. Required Yes❑ No[` Number
Received Yes❑ No"
DESCRIBE WORK Shorelines/Flood Hazard Plans Required❑ f
$. (A e .tZ-` 04-x--2) Yes❑ Not Applic.❑ Received ❑ f
VALUATION SOURCEOGAS ELECTRIC WATER SEWAG� Ownership FEES COLLECTED
9. .DBLIC 0 well❑ SEWER C❑ Public❑Private 16
UTILITIES
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 16"'We.
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 `f_ /7 / APPLICATION f�
OWNER OR AGEN7 � Ems`` � " DATE 'C Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
SEPA
Planning Modular/
MFG.Home >-
Fire a'
Prevent.
Other(Specify) C.)illEngineer J
LI
Utilities . �.��
� TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans �-� 21� PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. // / Z, PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED ((�� 1 R,
Budding /'\ �/ b IN 180 DAYS DATEIS9U�D 1 PERMITN�.19. 1 z * 3�6' 0 8
Tech. iL/l'aP _��r 43
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