1984, 03-26 Permit: 6479 Move ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
lit STREET ADDRESS
1. IS
LOT
2.
BLOCK
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
2.4i b MJ E•
SUBDIVISION
tMoA�ING RES�R
CO TRACTOR
4. I � i'1� i° 1i�l
ADDRESS
DESIGNER
5 ADDRESS
PHONE
-7G
LICENSE
LICENSE EXPIRES
PHONE
Ph
ZIP
PARCEL NO. 5.41
LEGAL DESCRIPTION:
v P.. Ng Pleao f
/7 axc. Ntso Fr ..61s Pr
Actual Set Backs in Feet to:
North [South 'East I West 0.1 -
Size of Parcel
A�nn��ii
VIV&.
Type`9islt.
Occupanc
Zone Classification
en
Residential
Commercial ❑
Spr'nklered
❑Yes ❑No Req 'd.
PHONE
ZIP
New Const. Valuation -4f4t
10023.0=
Main Floor
Remodeled Valuation
Total Bldg. Floor Area
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
TYPE ❑ NEW
7. OF
WORK BLD.
8.
❑ ALT. ❑ AD' N. ❑ RPL. Q,MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ElPOOL ❑OTHER
DESCRIBE WORK 17 p✓i ve. ,to
(YtO J
No. Baths
No. Floors
No. Fin. Rooms
Unfin. Basement.
15 F7
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ Non
Received Yes C] Nof7
Number
Shorelines/Flood Hazard
Yes ❑ Not Applic. ❑
Plans Required ❑
Received E
VALUATION
;9.
SOURCE
UTILITIES
GAS
ELECTRIC
WATER ,
PUBLI
PRIVATE❑
SEWAGE,
SEPTIC..
SEWER'❑
Ownership
Public ❑ Private ❑
I hereby certify that I hav
reverse side, and know t
work will be complied w%th whether specifie
thority to violate or cancel the p visions of
of construction. SEE RE IDE FOR R
and examined this application and have read the "NOTICE" provisions included on
II provisions of laws and ordinances governing this type of
or no . The granting of a permit does not presume to give au-
ther state or local law regulating construction or the performance
RED IN,= PECTIONS
e sortie to be true and corr
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
VEnv. Health
��lanning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PRELIM. FINAL DAT
Yz
PA.
;74
r r
5/23
DATE APPLICATION 3
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
'fi 3 tral4
H -o OSS- i $e irY o'J ,) IS Lt CM '0
kr to& s AfF)vt..c,r1zyv
lel . P reiltAC A
i,104t AIT1M Par. Ut Fif`Ylej 14SP 944.4E4115/4T-
PERMIT
'+-
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify) 5v . °
TOTAL
PERMIT NUMBER
13* ►5000
02* *10200
*152,006
A *0,00
256,3
03-26-84
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
PERMIT NO. TOTAL
ATT---- co
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