1983, 05-31 Permit: 83A-4635 Solar Panels PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY .e5? 12k ` 35
(I} NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. 192_2S C Z5rck
LOT BLOCK SUBDIVISION LEGAL bESCRIPTION:
2. ,. . x ()
OWNER tPHONE PHONE .- i.
3. tom,` Voe,A L Qzs-8573 c
MAILING ADDRESS Actual Set Backs in Feet to: r'
p ,
14,225 Zo►zfl cv North ),( 5Tr &,. I West / / 1.3 /i
COTR,ACIT, R \ LICENSE EXPIRES RHONE Size of Parcel Zone Classification Residential f3
4. +"�" OSLA CMS+. . n--659Y Commercial❑ — :: 'I — u
ADDRESS i000 S 6, I V Z�P`i ❑Yes ❑No
Type Const. Occupancy Sprinklered ❑Req'd. < i_ `c
% c-
DESIGNER PHONECC�4IINew Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. t,
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck 4 Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings
OF
LAN ❑ ALT. ❑ A N. 1=1 RPL. ❑ MVE.7. ❑ OTHER
WORK BLD. ❑ PLMB. CH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes 1=1 No
DESCRIBE WORK`' /► Shorelines/Flood Hazard Plans Required❑
8.
F-- - Tn- Yes Not Applic. Received ❑
VALUATION SOOURCE GAS ELECTRIC WATER
A PUBLIC T 0 SEPTICwnership / FEES COLLECTED
9. UTILITIES PRIVATE 0 SEWER❑ Public 0 Private d
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 9Z
work will be complied with whether specifies •- • ••t. The granting of a permit does not presume to give au-
thority to violat= • - - - provisions .f any other stat• or local -w regulating construction or the performance
of co / on.SEE REVER J— 'E 6,24' i�•U_L-'' IN- •_-__ J./: Plumbing
SIGNATURE OF , APPLICATION ,3 /r3 Mach.
OWNER OR AGENT �r � DATE
SPECIAL APP-OVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home
M.
Prevent.
O
Other(Specify) c.
Engineer W
J
Utilities ��
LL
TOTAL $
SEPA
MACHINE Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERMITTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS . /�
Tech. 9S 1 DATE I8S E17 3 1 -
S 3 PERMIT N06 3.5 z * 4 7.0 OTN,AL