1983, 12-16 Permit: 83B-2587 Garage PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 0313 X50-7
NORTH 811 JEFFERSON/SPOKANE,WASH INGTOI499260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1' 11 ( 0 ff. 23RP Coor'T QE1PAL- 2G754 I - 2-ZI I
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. i 4 4 v" la citer L II . 8K• i vF-�� CA►Sr s iia,
OWNER PHONE PHONE
3. P'1E L- 606,65 612-z.-0438
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
1 491 j 7-3 c . (f ottAU - c19 Q 7 _North I South East l West I
CONTRACTOR
� LICENSE EXPIRES PHONE Size of Parcel n�, �! f Zone�Classification Residential
4. a;A ft'ei' _ 6v !` 1-0a' [�I41, �'1 Ic., Commercial❑ L: "- <
ADDRESS ZIP Type Const. Occupancy Sprinklered * L. ' ,-) ()
❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area ,.
5. `i -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage
ge Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6. --- ..<---- -."' ......
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ----
7.
..-----
❑ OTHER WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El Certifi.ofExempt. Required Yes❑ No❑ Number
r or Variance Received Yes LI No
DESCRIBE WORK /nn f fj, Shorelines/Flood Hazard Plans Required❑
8. GFIPJ�i • 2 C40 1T— 1, �f /1= . E 2,x 7,4?� Yes Not Applic.❑ Received ❑
VALUATION 4 •
SOURCEOGAS ELECTRIC WAPUBTER
SEW C E Ownership _/ FEES COLLECTED
917` tOOO I UTILITIES PRIVAT ❑ SEWE ❑ Public❑PrivatgXl
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on O
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of Build gD �,
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 ' ,, ) ' APPLICATION -,
OWNER OR AGENT( / /..., _ I.- / DATE �� .7l` )" Mech.
SPECIAL APPROVALS SPECIAL CONDI I•NS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE /7� Plan Check
Env.Health W gdnA Cr 1 go v2
SEPA
Planning Modular/
Fire MEG.Home y
Prevent. 0
O
Engineer
Other(Specify) C.)
W
J
Utilities 47, 92-
uL
TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building 414,
I N 180 DAYS ' - 1 6 -8 j ` 5 8. 7 z * 4 7, 0 0DATE f59t/ED PERMITNO �f'AL
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