1983, 10-10 Permit: 83B-164 CarportPLAN NUMBER - APPLICATION/PERMIT 1 PERMITNUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WA3HINGTUN 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 STREETADDRESS% r —' PARCEL NO. .�
L T
SUBDIVISION
LEGAL DESCRIPTION:
I !oCK
OWNER
'��
PHO E
PHONE
IJO Gc� l --I rJ
3.
%
MAI,ILII N.G ADDRESS
Actual Set ks in Feet to:
rte- ,
22
North South East West
CONTRACTOR,,
LICENSE EXPIRES
PHONE
SizeofP cel
X 1c50
Z neClassifi 1°�
R I
Residential
Commercia ❑
4.
• " ✓
ADDRESS
ZIP
Type Cpn
t.
OGcup�ncy
Sprinklered
❑Yes ❑No ❑Req'd.
V
M
x � 0 C
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
�` 4 `.
CHANGE OF USE FROM
TO
Cover Deck _
Uncv. Deck
Fin. Basement
Unfin. Basement
J
6.
TYPE❑ �AD'N.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
IJE�/N El ALT. El RPL. ElMVE.
% OF El OTHER
-
-
- V
CertifI.ofExempt.
Required Yes❑ No❑
Npmger�7
BLD. ElPLMB. ❑ MECH. ❑ M. H. ❑ POOL
WORK
or Variance
Received Yes❑ No 13
fel/
DESCRIBE WORK
8•
Shorelines/ Flood Hazard
Plans Required ❑
®^0C:;'r-1TCNj r-1T
Yes Not Applic. ❑
Received ❑
VALUATION
SOOUFCE
GAS
ELECTRIC
PUBLICRVf
SEPTCGE
Ownership
FEES COLLECTED
9•
UTILITIES
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 compiled 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 REVE IDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION /%��� >
(//��
OWNER OR AGENT DATE !
Mech.
Plan Check
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Env. Health
PRELIM. FINAL DATE r"'SjQ141
Planning LaTa i0/_
Plans to/ PERMIT IS NONTRANSFERABLE
Exam. lc PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building to IN 180 DAYS
Tech. G
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
10-10-81
DATE ISSUED
16,4° *2400°
PERMIT NO. TOTAL
SPOKANE COON PLANN IN DEPARTS,^ENT
APPLICATION FOS: A MINISTRATIVE ACTION
Date: ��T- ivy /9�3 App Iication No. Ait - ?—
Name of Applicant: 0,"s 4�10,1 �-Z//, /
Street Address of Applicant:
9zz�
City: State: Z-4),4, Zip CodeTele. No.
Request (Cite Ordinance
Section): �, b�, /!0
Legal Description of Property:
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
APPROVED BY:
TITLE:
DATE:
Assessor's hiap Attached
Copy of Plot Plan Attached (If Pertinent)
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