1983, 10-26 Permit: 83B-914 Garage PLAN NUMBER • - APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY 6-3\3 -214-
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. - 12- 4. 2�- - &s4 - 0104--
LOT BLOCK sum✓FKIVISIOILEGAL DESCRIPTION:
2.
1-" ' � `t'V l OJAI '*' a -J illiU
OWNER ' O PHONE
3. isi� \X 11 — I- . - 4650
MAILING ADDRESS +
3,2-0
/ Actual Set Backs�7in Feet to:
- u 4 �1'� (!! North 11 [South East 3 i West
CONTR CT R6 LICENSE EXPIRES PHONE Size rcel i Zprl�Classif cryo Residential
74.7 X 7 Ip�%�' 'NJ Commercial❑
4. ADDRESS ZIP TypeCgnsR. OccuparJcy Sprinklered
\1[/N I�"/It ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. '-76o 21 0
ADDRESS ZIP Main Floor Upper Floors Garage/S�oragea Greenhouse
CHANGE OF USE FROM TO Cover Deck ' Uncv.Deck Fin.eBasement Unfin.Basement
6.
/� No.Baths No.Floors No.Fin.Rooms No.Dwellings
7 OFPE of W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes No
DESCRIBE ORK 7A ,, Shorelines/Flood Hazard Plans Required
8. � li �" E/ Yes❑ NotAp .❑ Received ❑
VALUATION SOURCE GAS LECTRIC WAPUBER , SEPTIC ownership FEES COLLECTED
9 OF
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
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 .fin- -« DATE 'C/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health datcf%
SEPA
Planning Modular/
MFG.Home >-
Fire
d
Prevent.
O
Engineer
Other(Specify) C.>
W
-a
LL
Utilities
TOTAL $
SEPA
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans ' A,_ PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building �� I /
� � IN DATE PERMIT Ny0OJ
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