1983, 10-14 Permit: 83B-435 InsertPLAN NUMBER APPLICATION /PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTNtENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
E. 10917 26th
LOT t BLOCK I SUBDIVISIO"l LEGAL DESCRIPTION:
2. %
OWNER 2HONE0561 PHONE
11Roberto 1�Zassari `.�GG((��
South I East I West
cone Uassmcauon Residential ❑
Commercial ❑
Occupancy Sprinklered
Dyes ❑No 11 Req Id.
Ion Remodeled Valuation Total Bldg. Floor Area
UDDer Floors I Garage/Storage I Greenhouse
Fin. Rooms I No. Dwellings
Received Yes ❑ No ❑
Plans Required ❑
8 fireplace,�t' er took care of hearth
v.
MAILING ADDRESSZip
L. 10917 26th
VALUATION
i' 9•
99206
Actual Set Backs in
PUWATER
BLIC ❑
PRIVATE ❑
SESEWAGE
T SEWER ❑
Ownership
Public ❑ Private ❑
FEES COLLECTED
Building
Plumbing
North
RE OF ��_ APPLICATION 9
R AGENT DATE / / _
LEnv,Health
Mach.
Plan Check
CONTRACTOR alley Fireplace
V
LICTjrPIRES
l�1
P,�I�b�E 2780
Size of Parcel
DATE
4.
ADDRESS
ZIP
Type Const.
SEPA
Modular/
Planning
r:. 16610 Sprague Ave.
99037
'
DESIGNER Veradale, ':iA.
PHONE
New Const.Valuat
=' _.
262v
Prevent.
5
ADDRESS
ZIP
Main Floor
,yt
Other (Specify)
Engineer
1
CHANGE OF USE FROM
TO
Cover Deck
6.
Utilities
TOTAL $
No. Baths
TYPE ❑ NEW ❑ ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
7.
OF
❑ OTHER
PERMIT IS NONTRANSFERABLE
WORK ❑BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
Exam.
oorrVarianceempt.
South I East I West
cone Uassmcauon Residential ❑
Commercial ❑
Occupancy Sprinklered
Dyes ❑No 11 Req Id.
Ion Remodeled Valuation Total Bldg. Floor Area
UDDer Floors I Garage/Storage I Greenhouse
Fin. Rooms I No. Dwellings
Received Yes ❑ No ❑
Plans Required ❑
8 fireplace,�t' er took care of hearth
Yes❑ Not Applic. ❑
Received ❑
VALUATION
i' 9•
I SOOURCE
UTILITIES
GAS ELECTRIC
PUWATER
BLIC ❑
PRIVATE ❑
SESEWAGE
T SEWER ❑
Ownership
Public ❑ Private ❑
FEES COLLECTED
Building
Plumbing
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
e complied with whether specified or not. The granting of a permit does not presume to give au-
iolate or cancel the Prov' ' sof any er state or local law regulating construction or the performance
tion. SEE REVERS FOR RE ED INSPECTIONS
RE OF ��_ APPLICATION 9
R AGENT DATE / / _
LEnv,Health
Mach.
Plan Check
AL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL
DATE
SEPA
Modular/
Planning
MFG. Home
Fire
Prevent.
Other (Specify)
Engineer
Utilities
TOTAL $
SEPA
WHEN MACHINE VALIDATED
Plans
PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
Exam.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
HI
Building(` I N 180 DAYS (1 _ j 4— 8 3 5 2 O
Tech. 1 DATE SUED` PERMIT NO. z *tAL