1983, 01-14 Permit: 83A-348 GaragePLAN NUMBER
APPL ICAT ION /PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
DESCRIBE WORK Shorelines/ Flood Hazard,/ Plans Required ❑
8. A -P _ L+ = +-�� _' L� a� � L,� Yes Not Applic. Received ❑
VALUATION I SOOUFCE GAS ELECTRIC WATPUBLIC ❑ SEPT C SEWAGE Ownership FEES COLLECTED
9 UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private I�1
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
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
SIGNATURE OF f APPLICATION
OWNER OR AGENT, &-"� DATE
^�'��
SPECIAL APPROVALS SOCIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env.
C'J'/o ',I
Planning
Utilities
Plans// PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building fl• I IN 180 DAYS
T....I.
C'
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ i?1 1
WHEN MACHINE VALIDATED I
THIS BECOMES A PERMIT.
�S&117 1 4 r_ 8 5 PERMIT VI
NO3 � 8 z * 8 9, 0 I AL
DATE
CL
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APPLICANT: COMPLETE NUMBERED SPACES
-PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
PARCEL NO.
28��t3 �tooq
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION: ,
Z.
I
OWNER
PHONE"Hfy,
PHONE
3.
'^
v1 m t ;it
?' = lit -P•
MAILINGADDRESS
ZIP
Actualt Backs in Feet to:
j
c�
7 G,?h
':�`i 7-0co
North -A -1 South � T? East West { .+
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4.
% v
12 -1*, ,' �'z� �
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
V
.
[]Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
Ll
5.
ADDRESS
ZIP
Main Floor
Upper FloorsGarage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck Fin. Basement
Unfin. Basement
6.
--
r -
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
TYPE & NEW
❑ ALT. DYAD' N.
❑ RPL. ❑ MVE.
7.
OF11OTHER
WORK Nf"BLD.
❑ PLMB. ❑ MECH.
❑ M.H. ❑ POOL
Certifi. of Exempt.
Required Yes Nom
Number
or Variance
Received Yes❑ No❑
DESCRIBE WORK Shorelines/ Flood Hazard,/ Plans Required ❑
8. A -P _ L+ = +-�� _' L� a� � L,� Yes Not Applic. Received ❑
VALUATION I SOOUFCE GAS ELECTRIC WATPUBLIC ❑ SEPT C SEWAGE Ownership FEES COLLECTED
9 UTILITIES PRIVATE ❑ SEWER ❑ Public ❑ Private I�1
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
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
SIGNATURE OF f APPLICATION
OWNER OR AGENT, &-"� DATE
^�'��
SPECIAL APPROVALS SOCIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env.
C'J'/o ',I
Planning
Utilities
Plans// PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building fl• I IN 180 DAYS
T....I.
C'
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ i?1 1
WHEN MACHINE VALIDATED I
THIS BECOMES A PERMIT.
�S&117 1 4 r_ 8 5 PERMIT VI
NO3 � 8 z * 8 9, 0 I AL
DATE
CL
O
V
W
_J
6L