1983, 05-04 Permit: 83A-3654 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
4 SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY J3A — 3
v NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 STREET ADDRESS0._ 14-e2i ' r, �4 PARCEL NO. Z 3 15++ I4-l 4—
LO— BL SUBDIVISION
2. Z.-
CK U
J1R
G. '�i°sy , 6 I 70 LEGAL DESCRIPTION:
3. CWN m I I ���3 — 1263 PHONE
TING ADDRESS 7 Actual Set Backs in Feet to: /�
113,
�I ( 1 �� .'7,C)3 North !South S 0s East I West &) /
CON R CT p.� LICENSE EXPIRES PHONE Size of Parcel Zone Classifigation Residential-0
4. t��% 100>c 13 1 . Commercial❑
ADDRESS ZIP TypeC�ns. Occ ncy � Sprinklered
,_ �= * " I. r' '0 0
M ' ❑Yes 0N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5
ADDRESS ZIP Main Floor Upper Floors Garage/StorageGreenhouse
7Q 6
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Basement Unf in.Basement — J %L_ 3
6. _
No.Baths No.Floors No.Fin.Rooms No.Dwellings i ( 7 9
TYPE
Q W D ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7.
❑ OTHER
WORK
D. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.ofExempt. Required Yes❑ No❑ Number
or Variance Received Yes No❑ //
DE CRIB W RK � /��� Shorelines/Flood Hazard Plans Required/
i
8 ---) ciAp i ei (2.4-)4 3C-'")) Yes❑ Not Applic.❑ Received E
VALUATIO SOURCEOGAS I ELECTRIC` ` PUBLIC RC SEPTIC G Ownership FEES COLLECTED
9 UTILITIES PRIVATE❑ SEWER❑ Public 0 Privat
I hereby cersify•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 �'
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 �t APPLICATION �/
OWNER OR AGENT eizx
P ' 1 1) DATE/ �� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning Modular/
MFG.Home >-
Fire
Prevent. a
O
Other(Specify) c.3
Engineer ICJ
—1
Utilities LT.
TOTAL $ 42
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans `
‘101 5/� PERMIT IS NULL
IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. 110-.
LL AND VOID IF WORK HAS NOT COMMENCED
Building kIll 5�LI— DATEEIN 180 DAYS —D° 4 —8 3 PERMIT �. 5.4 z *6 8. 0 0�otAL
'
I
Extra charge for setting LOT markers. No markers set Survey for Loan purposes only.
Scale 1" = 20 Ft. Surveyed: April 30, 1968
I hereby certify that I surveyed the above described property and that I find the improvements to
be on the premises in question and that they do not encroach on the property lying adjacent thereto—
EXCEPT:
NO improvements encroach on these premises—Except: s
OWNER or BUYER SARGENT, FLAGAN & RAM , INC.
Arvid S . Anderson CONSULTING CIVIL ENGINEERS & LAND SURVEYORS
North 10115 Newport Highway
E. 14811 - 15th Spokane, Washington 99218
HU 7-1658
I Z,::1,/6767,
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