1983, 04-06 Permit: 83A-2680 GaragePLAN NUMBER
PHONEewConst.
APPLICATION /PERMIT
PERMITNUMBER
Total Bldg. Floor Area
5.
(
SPOKANE COUNTY — DEPARTM,ENT OF BUILDING & SAFETY"�
-7Z4, e)O
52_'E>
ADDRESS
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
_
Floors
Garage/Storage
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Greenhouse
STREET ADDRESS
PARCEL NO.
2.
LOT
BLOCK
SUBDIVISION
Fin. Basement
LEGAL DESCRIPTION:
Unfin. Basem(
a
AOC)4Tcori
OWNER
PHONE
PHONE
3.
7. ❑OTHER
41 X —44
MAILING ADDRESS
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Certif i. of Exempt.
ZIP
Actual Set Backs in Feet to: 1
Number
I- • k k 7.C�Co
�
G� �L�G.
North South C East West
DESCRIBE WORK
8. "rAC—c
CONTRACTOR
t G4
Plans
Required
LICENSE EXPIRES
PHONE
"A_4� —&7
Size of Parcel
Zone Classification
Residential
Commercial ❑
I SOURCE
4.
ELECTRIC
�iL
Ownership
7
G X 1�
UTILITIES
1. ,
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on
CA -.)- ( /'J'
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
_N
I M Z
❑Yes []No ❑Req'd.
DESIGNER
PHONEewConst.
Valuation
-7
Remodeled Valuation
Total Bldg. Floor Area
5.
4.:2 _'
52_'E>
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basem(
OFPE ❑/91EW 11ALT. (/AD' N. 11 RPL. ❑ MVE.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7. ❑OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Certif i. of Exempt.
Required
Yes❑ NoC
Number
or Variance
Received
Yes❑ No[:]
DESCRIBE WORK
8. "rAC—c
Shorelines/ Flood Hazard
Plans
Required
/
'"'—'o tS7E/VC� —6A
Yes❑ Not Applic. ❑
Received
VALUATION
9.
I SOURCE
GAS
ELECTRIC
pUBLICRV, SEP IC V
Ownership
FEES COLLECTED
UTILITIES
PRIVATE ❑ SEWER
Public ElPrivate
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
(501,
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
Building
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
Plumbing
SIGNATURE OF APPLICATION
`� "� _
OWNER OR AGENT DATE T
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
Fire MFG. Home
Prevent.
Engineer Other (Specify)
Njok
Utilities
SEPA TOTAL $VALIDAT
Plans PERMIT IS NONTRANSFERABLE WHEN MACHINE FERMI
THIS BECOMES A PERMIT..
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
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w ding IN 180 DAYS DATE(� Q
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