Best N 5523 Residence
PLAR+ NUMBER APPL ICAT ION / PERM IT PERMIT NUMBER
~ SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 611 JEFFERSON I BPOKANE, WASHINQTON 99M / t6091 456-9618
APPLICANT. COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1~ ~A~~~ ~ ~ PARCEL N0. 9:~
2 L i eLOC►c sue~ I~o~, ~ LEGAL OE8CRIP'TION
hl~ -
OWNER ONB PHWiE
3 Mau~~G ESS ' nv Adum e~sinred to.
loam 10 (Eas!445 1WW _9'1
I , UCEI~EXPIREB E ~~Plvoel O aneGeealfloell r
« E~°~ . C vIVC, ' • ' ~w D
a. r? ~ ATM/y~/~,. OAMOWCY OYee ~D~~ Of~p'd
r ~~r
~
ea
DEStONER PHONE New Yd RWnadoW dduatlon Total 8149 FtWr Area
5 AOQRESS ZIP RWFkot Upwpme GmwiBtoreOe Grew4mae
N ~
CHAt+lOE OF U8E FROM TO Oorer Oeak i lftv Deok Fln Pasemmt Unffn Baeement
s
Np No Floore No FIn Romne No Dw~~inp
TYPE 110'NEW 0 ALT ❑ AD'N 0 RPL. 0 MVE. 0 OTHER ~ I
7 OF ~BLD 0 PlMB t7 MECH D M H 0 POOL ~ t Reqidree YeSo KoD ~ ~
WORK iboeMed Ye90 Na-r
DE I VYORK elty~llFb00 Ma~rd Plaro ReQu~rod e to Nm
~Appilo ~ Reoeived ~
VALUATION soo cE c~s ~crnIC ~A~ ow~+ere~+~ FEES COLLECTED
9 unuMEs ~vA~ o ~ 0 o ~vare ~f
I hereby oert(fy that I have read and examined thle applicatlon and have read the'NOTICE' provlelons inaluded on .
reverse side, and know the same fo be true and cortect All provislone af lawe and ordinancee governing this type of Bul"
work will be compUed wltA whether epeclfied hereln or not The granNng ot e permit does not presume to glve au•
thority to vlolate or cancet Islons of any other state or local lew regulaling conatruction or Ihe perfor nce
of construction 8EE REVE SE tD FOR REGUIRED IM8PECTIONS ~~"o
SIGNATURE OF ~ APPLICATION
ArAAW
~ DATE ~
OWNER OR AG OfUT
SPECIAL AP ROY sp IAL NDITION8: (SEE AEVERSE SIOE FOR NOTICE) .
o~~ W
Ern Healih ~M ~ + Lf
~JI~ Cv~ po-~
Planmrtg ~t~ ~Y ~ ~A
s~a,,,~'w F`'~ n~ I'~►J 3 00' 3,f 1) Modutw`° ~
Fi
premd
~
, on~r
EnDineer svedty)
.l ~
UIIIItle9 T IQ ft c4M-~~~ Alr, LoIowftn+i,MC&
77
TOTAL i '
sEPA ~'!bw~ GAN oN CI'Z4•84ANO SENSM
~11by~ _,~I Z'! WMEN MACM(NE VAtIDATED IN THIS SPACE,
PEpM I NOninANBrE A L THIS BECOMES A PERMIT
Ex'" PEAM{T IS NULL AND VOID IF WORK HAS NOT COMMENCEO
~i"e IN 180 DAYS
L QATE tSSlED PE11MR MO TOTAL