1983, 09-27 Permit: 83A-9551 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY _ A c755/
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
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STREET ADDRESS PARCEL NO.
j��pC, ��-' Z 317 _— ZD CI 'I ic�N
LOT BLOCK• SUBDIVISION LEGAL DESCRIPTION:
2. p & ._ .2-1¢ - 1`'5 i tr 14 . 4110 or
OWNER P ON PHONE Vii// � PA.,—,O = IC"v
3. 161 KJ zA4•1 - -19'4-2,
MAILING ADDRESS Actual Set Backs in Feet to:
- l 3 14 /2037 North 'South -7.2
East I West (.7
CONTRACTO LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential ` (
4. yw i _ �...�����{{yy- ' jy ( ... Commercial❑
ADDRESS ZIP TypeCof�f Occyp1ncy ' "-`F_ Sprinklered
vv��r��r I�A"AP ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Co sq t.Valuation Remodeled Valuation Total Bldg.Floor Area
5. ADDRESS ZIP Main Floor Upper Floors Garage/Stor ge Greenhouse
r-7/^ —
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. _
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ''BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL wvarianExempt. Required Yes❑ No❑ Number
��� Received Yes❑ No❑
DES RI OR����_ 4tet, C Shorelines/Flood Hazard Plans Required
8. Yes❑ Not Applic.❑ Received
VALUATION SOURCE AS ELECTRIC WATER SEWAG Ownership FEES COLLECTED
9 PUBLIC LO SEPTIC Public❑Private
UTI�TIES I PRIVATE 0 SEWER 0
I hereby certify that I have read and exarfrined this application and ha a read the
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building g_2_1_
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
OR AGENT
SIGNATURE OF /' 1 ' DATE
APPLICATIQ� ��'/983 Mach.
OWNER
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
Fes, i-loajth__PRELIM. FINAL DATE
y1/- SEPA
Planning Sall `
Modular/
Fire MFG.Home p,
Prevent. c
U
Fnginxev Other(Specify) J
Utilitiwc
r
SFPA TOTAL $
Plane PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech ingVI N 180 DAYS —a 7• 8 3 �p5 5, 1 z * 61.O 0 rot AL
f2-fe.?
E DATE UE PERMIT
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