1984, 03-28 Permit: 84A-2649 Garage PLAN NUMBER APPLICATION/PERMIT PEIRty1IT�lUM_ E .
SPOKANE COUNTY — DEPARTMENT OF $UILDING &SAFETY • /FIAT .'` '
' NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS�62Q PARCEL NO. U� j
1.
II]] Z NIQ �' y. I 1671°
2. LOT BLACK SUBDIVISION P cr Gar ,NA-C 1 P�_f "� LEGAL DESCRIPTION:
OWNER i PHONE PHOIQE
MAILIRG ADDRESS Actual Set Backs in Feet to: ,/
1'2,00E7 Z2— ° 22a North 'South East I West
CONTRACTOR LICENSE
t A I LICENSE EXPIRES ��--IIO, �/ Size of Parcel t ne Classifi Residential
4. 'i t ' I-.'v - - L7 90� 13 . ' i Commercial❑
Z4- Ty�pV ncy Sprinklered7RESS 76 ❑Req'd.GNER PHONE New Const.Yaluation Remodeled Valuation Total Bldg.Floor Area
5. a
ADDRESS ZIP Main Floor Upper Floors Gara,St{lragg Greenhouse , r., y i}
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement ''' r `.: r,)
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
7
TYPE EJ N W 0 ALT. 0 AD'N. 0 RPL. 12 MVE. ❑ OTHER
BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL Certifi.of Exempt.
WORK or Variance Required Yes No❑ Number
Received Yes CI No CI i
DES IB W K f Shorelines/Flood Hazard Plans Required❑
8• I. C=� 1 I 1�j ',I r Yes❑ Not Applic.❑ Received ❑
VALUATION SOOURCE GAS ELEC RIC ( WATERPUBLICV SEPTAL E OwnershipFEES COLLECTED
9. UTILITIES PRIVATE❑ 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
66
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 ' APPLICATIO r/
OWNER OR AGEN &. .......—di --w��� i�- " DATE //7 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. F NAL DATE r I Ko. kJ� aq kl �kc�� Plan Check
Env.Health ilt Ae SEPA
Planning
7
Modular!
Fire MFG.Home >-
Prevent. D' u d
Engineer ) is ivlrll3A'( ¢L ? 2.—azvr�C* ��L1Ui4?C'J�b, lF TO W
Other(Specify) v
Utilities S N � • . a.-
TOTAL $
SEPA
' PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans P✓� v
S N THIS BECOMES A PERMIT.
Exam. (_moi PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS Qj J 8 48 6
* 0 OTTech. DATESSUEDPERMITL. 2 TOTAL
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