1983, 05-31 Permit: 83A-4631 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
,� SPOKANE COUNTY - DEPARTMENT OF BUILDING &SAFETY f 1;-4-Cr /
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL NO. `z'�'`j _
1 [Lof [BI� SUBDIVISIONLEGAL DESCRIPTION
2.S2-_, 23 1 A MU .'r lrI i�'-
owNE,R __,, II P1,3,1_, �, PHONE
3. �L 1 V &( J 'Ti02 * * 7 0 0
MAILIN ADDR ;;yy � � ZIP /^ Actual Set Backs in Feet to:
•`7 i 4— 9 ' �/ `J Il c L., -� Q) lL+ North 5 i south East 5 I West / * 7 C .' "
CONTRpCTQR� LICENSE EXPIRES PHONE 1 Si of Parcel
one Classifi ion Residential$
f , ` 12 L'') ar, 2U 0` Commercial❑ }i * �-, ,.
4. ADDRESS ZIP TypeCpns Occupancy Sprinklered
U M ❑Yes 0 N ❑Req a. 4
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area U 5 - 1 ( - ° 3
09i2-
5 ADDRESS ZIP Main Floor Upper Floors Garage .torgge Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
TYPE I=1 ALT. ❑ AD'N. CI RPL. El MVE. No.Baths No.Floors No.Fin.Rooms No.Dwellings
7- OF ❑ OTHER
WORK BLD. 0 PLMB. El MECH. El M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes❑ No❑
DESCRIBE WORK �` Shorelines/Flood Hazard Plans Required CI8. I� �/ Yes Not Applic.❑ Received ❑
VALUATION 'SOURCE GAS EL CTRIC WATER� SEPTIC•❑ Ownership FEES COLLECTED
9• UTILLIITIES PRIVATPUBLICE❑ SEWER❑ Public❑Private❑
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 7
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 FO- QUIRE 0 INSPECTIONS Plumbing
SIGNATURE OF APPLICATIONG
OWNER OR AGE - �ii.i - / _ ,� DATE f Meeh.
SPECIAL APPROVALS SP 'CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health 5/
��eolx /�✓t, SEPA
Planning Modular/
MFG.Home
Fire d
Prevent. 0
Other(Specify) t,
Engineer W
J
Utilities LL
- TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. ./'' `"' DATE E*k) PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech.Building N�, '� I N 80 DAYS ( D31.-8 3 4,4. 3,1 z * 7 5.0 0 rorAL
4 �(%��? PERMIT