1983, 10-24 Permit: 83B-0758 ResidencePLAN NUMBER _ APPLICATION /PERMIT "
SPOKANE COUNTY - DEPAR 7 MENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANEiWASHLNGTON 99260 / (509) 456-3675
1.
E:�-- 1;716
Main Floor
LOT
BLOCK
2.
r3
3
OW
3.
MAI NG ADDRESS
O
CONTRA TOR
TO
Cover Deck
4.
Fin. Basement
Unfin. Basement
ADDRESS
DESIGNER
5.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
q9 PARCEL NO.
SUBDIVISIP LEGAL DESCRIPTION:
PHONE
LICENSE EXPIRES
North South -305 East 10 1 West 12i
H NE Siz of Parcel T� ne Classifi on Residential ef
(0 �G C i , �M_ Commercial E
ZIP Type Const. O,ocupangy Sprinklered
❑Yes ❑No ❑Req'd.
PHONE NSYRnst. Valuation Remodeled Valuation Total Bldg. Floor Area
�I-
PERMIT NUMBER
0.5 �7
ADDRESS
ZIP
Main Floor
Upper Floors
I Garage l torage
Greenhouse
{_ ;
C V
CHANGE OF USE FROM
6.No.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
g
TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No. Floors
No. Fin. Rooms
No. Dwellings
7. OF El OTHER
i
t
_
c
WORK I4LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Certifi. of Exempt.
Required Yes❑ No❑
Number
or Variance
Received
Yes ❑ No ❑
DES RIBE WORK
8' �s
Shorelines/Flood Hazard
Plans Required ❑
►�% -
Yes Not Applic. ❑
Received ❑
VAL ATION SOOUFCE GAS E ECTRIC WATER
G❑ Ownership
9• PUBLIC SEPTIC
FEES COLLECTED
UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private ��_f
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 REV SE SIDE FOR REQUIRED SPECTIONS
Plumbing
SIGNATUREOF CATION
OWNEROR GENT
- DATE
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
d
SEPA
Planning
Modular/
Fire
MFG. Home
Prevent.
d
Q
Engineer a
Other (Specify)
C.
z
LU
Utilities
TOTAL
LL
SEPA
$
WHEN MACHINE VALIDATED IN
THIS SPACE,
Plans r c7XINJ V4 PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
.06 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech �ng Z2 IN 180 DAYS
11 ((��
DATE k904 2 _
p
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7 -j
* 2 / 6. 0 O
PERMIT
NO.
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