1983, 05-11 Permit: 83A-3917 Shop, Garage PLAN NUMBER APPL ICAT ION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - DEPARTMENT_ OF BUILDING & SAFETY - 717
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 '
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO. ..)
2. LOT BLOCK susQlvlsloyrozio � LEGAL DESCRIPTION:
OW� �� j� P11.126 PHONE
N l -lass �20
3. MA INC DD ss y ZIP Actual Set Backs in Feet to:
1D5
[) �v I North 'South Ii— lEast i° I West g/
CONNTRAACT 5 l 5LICENSE EXPIRES "-10 1 , i t si Pgr331>c: Zgne Classifi tion' al❑ - D'7
/p_R 'j 638,54_y/ I / Type (�Ct, Occ�P,p /�IJ�1 Sp�rinklered
4. AD CI - V✓C�T� ✓r-- re W„ Om
❑Yes ❑No ❑Req'd. y'
DESIGNER PHONE New Cone.Va Dion Remodeled Valuation Total Bldg.Floor Area
41
5. 1 d'� - R
ADDRESS ZIP Main Floor Upper Floors Garage/ t ra e Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin. ement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
7 TYPEC 411EW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
LD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL 0 OTHER Certifi.ofExempt.
WORK • or Variance Required Yes No❑ Number
Received Yes No
DESC WORK -t,� � � stn Shorelines/Flood Hazard Plans Required❑
8. I�/, ��t� q X �v'(o nor...,
Yea❑ Not Appli .❑ Received ❑
VALUATION I G1 ted"URCE 111 _ GAS ELECTRIC W TER SEWAG� Ownership FEES COLLECTED
9 OF
UTILITIES PUBLIC SEPTI
PRIVATE SEWER C D Public❑Private
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on 10e)
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building
work will be complied with whether specified here'• or not. The •ra r o a permit does not presume to give au-
thority to violate or cancel the provisions of a • er st. - or • I. reg lating construction or the performance
of construction.SEE REVERS FO R 1*IRED PP;' • , Plumbing
SIGNATURE OF Ae,` / 40'•� APPLICATION
OWNER OR AGENT ti DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health
41 t+ SEPA
Planning
Modular/
Fire MFG.Home >-
Prevent. CD
O
Other(Specify) v
Engineer Lt.!
J
Utilities
doe "
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans j� PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. Itb PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building , -"if I N 180 DAYS E 4S -D1 1 -8 410.1.7 z * 10 8. 0 0 ° -'
DAT UE PERMIT �OirAL
Buiux NG
Si c 11‘111.11111111111114-
,
40
Post Fails, Idaho (208)773-5809
Spokane,WA (509)455-5139
T:M.T7RY NICHOLS
Name
E. 156.38 1.4
Address
`.. ICT.T E .
City POA
State Pr0rose..411:1
_ 4/04 Eicip too'
County Zip
Telephone 92 -?Q41 , 1\
Representative ' ARs.HILL COCK T ILL
'
LEGAL;
PARCEL ft- 2/1-51-L -03`,1)3-f:, \ -, ....
ROTCHFORD ACPE T.. ACT`'; L3 B3 .
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147 1
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