1983, 03-03 Permit: 83A-1497 Addition PLAN NUMBER APPLICATION/PERMIT , PERMITNUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 4 c?f - 4,7
7
V NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1• e, /3007 2 3RD AVE, 2_75'tt—\43Z
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 12., 6 Foug.ili q oj-rioN To oPPot2T'+4Ni -TP tC—
OWNER PHONE PHONE
izA%Qv_ OI'z t ,Z. A2-412>7`{
3• MAILING ADDRESS ZIP Actual Set Backs in Feet to:y -� *
L= - 1-:::-. Z 3 Z' _ ctA--• North 'South)O6 East 7 I West C f J
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential'r * /- S 0 0 CI;
2 l'4 Commercial❑
4. l���xX�� �a.¢ �=� I$..3 _Gly -c�(GC i D6 rc fz� Z -f
ADDRESS ZIP Type Const. Occupancy Sprinklered V, C C.
S : 4{7‘1_- "1- 42-2c, VCci--% ~ Ckc".Ct377: rO 12. ❑Yes ❑No ❑Req'd.
DESIGNER PHONE NpwConst.Valuation Remodeled Valuation Total Bldg.Floor Area
5. 5163f. ZZ•-4- :j3- G"-R3
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
-22-4 -- 6 tt 7 9.
CHANGE OF USE FROM TO Cover DeckUncv.Deck Fin.Basement Unf in.Basement
6. — _-
,.�/ No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ID NEW ❑ ALT. (E(AD' ❑ RPL. ❑ MVE. •— i 1
7- OF ❑ OTHER
WORK [.Y'BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes Nol�/ Number
or Variance Received Yes❑ No1�7
4
DESCRIBE WORK Shorelines/Flood Hazard Plans Required 41
8•• /�7?,=jt:4c7AS —TO Zc vit>C., C.-C. Yes Not Applic.❑ Received II
VALUATION 41 SOURCEOGAS ELECTRIC WATER PUBE❑ SEPTIC ti SEWAG . Ownership FEES COLLECTED
9• OF
PRIVATE❑ SEWER❑ Public❑Private I�
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 fot.bd
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 • QUI•ED ., ;E_TIONS Plumbing
SIGNATURE OF APPLICATION /�
OWNER OR AGENT APPLICATION
DATE >. / r 3, 3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health I�,
41/x,/l 3'3 SEPA
Planning Modular/
MFG.Home )•.
Fire 1:1-
Prevent.
Prevent. O
Engineer Other(Specify) W
J_
6L.
Utilities
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TOTAL $ tO `
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans 9� 3/3,4° THIS BECOMES A PERMIT.
Exam. *�!/ / PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED 33� zJ zJ 1
Tech.�ng , tF- ✓!3/ IN 180 DAYS DATESSUED0 " _8 " PERMITNO 9.7 z * 6 8.0 u TO AL
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