1983, 05-06 Permit: 83A-3757 GaragePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WA'SH'iNGTON 99260 / (509) 456-3675
5.
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
ZIP
STREET ADDRESS }� �®
Floors
PARCEL NO. Z(?�4�
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
2
Oy
BLOCK
SUBDI ISSION U 1151LEGAL
DESCRIPTION:
CHANGE OF USE FROM
OVAER
PHONE
PHONE
Uncv. Deck
3.
MAILING ADDRESS
Plan Check
Zi P �
Actual Set Backs in Feet to:
Env. Health
?,-®(fa
North South East West 43
SEPA
CO CT
LICENSE EXPIRES
PHONE
Size of Parcel
Zo a Classifi ion
r
Residential
Commercial ❑
4.
ADDRESS
[No.
ZIP
lam`/�'?�
TypQQo st.
�/
O�ypancy
/91f
t
Sprinklered
❑Yes ❑No ❑Req'd.
OF
�BKLD. ❑ PLMB. El MECH.
DESIGNER
Certifi.ofExempt.
PHONE
New 15
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garag /Storage
Greenhouse
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-
-
51C/t
of construction. SEER E SE SIDE FOR REO IRED INSPECTIONS
CHANGE OF USE FROM
TO
Mech.
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basem
Plan Check
PRELIM. FINA DATE
✓"g,�jA4' L�+6
Env. Health
j � �`� �O�E
SEPA
Planning
No. Baths
Floors
No. Fin. Rooms
No. Dwellings
TYPEW El ALT. ❑ AD'N.
El RPL. ElMVE.
[No.
MFG. Home
Fire
Prevent.
%
OF
�BKLD. ❑ PLMB. El MECH.
❑ OTHER
El M. H. ❑ POOL
Certifi.ofExempt.
Required
Yes❑ No❑
Number
WORKt
or Variance
Received
Yes❑ No El
8,
DESCRIBE W RK
/
C -4" > -���s
Shorelines/ Flood Hazard
Yes❑ Not Applic. ❑
Plans Required ❑
Received ❑
VALUATIOh
SOURCE
GAS
I
YLECTRIC
WATER
SEWAG
Ownership
FEES COLLECTED
UTILOITIES PRIVATE
PUBLICO
❑
SEPTI
SEWER El
Public F-1Private9•
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. SEER E SE SIDE FOR REO IRED INSPECTIONS
Plumbing
SIGNATURE OFAPPLICATION, S�
z
Mech.
OWNER OR AGENT(_0 DATE
SPECIAL APPROVALS
SPECIAL CONDITIO : (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINA DATE
✓"g,�jA4' L�+6
Env. Health
j � �`� �O�E
SEPA
Planning
UG
Modular)
q /
MFG. Home
Fire
Prevent.
L` fe
Other (Specify)
Engineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building K/ - IN 180 DAYS
TOTAL $
RM
WHEN MACHINE VALIDAT
THIS BECOMES A PERMIT.
DATI -II ED' 6 - 8 3
PERMIT NUMBER
- 325 27
02 *54,00
*54,00
A *0.00
375.6
05-06-83
6,479.
PERMI40.5• / 2 # 5 `. 0 0 QOiAL
CL
O
C]
LU
J
LL
p
I
_ I
R
(WoAlfi 01VAIS77,",
t -X),/ i, W4X, Fr
C-ouT14 1OFrz417
r-liV <
f4r
� v
2b2q-s1fN a
20-0
Y,
I
E4EV
64EV
OP161041-
-
39