1983, 03-31 Permit: 83A-2438 ResidencePLAN NUMBER AP P L I C AT ION /PERMIT PERMIT NUMBER
—o fiZ SPOKANE COUNTY — DEPARTMENT 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.
1. r✓ . ��L-�►i-3"�z"' rti c�� '� S�-l—�tc7a:i..
LOT I BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2. S 1
OWNER �tPHONE PHONE
3. MAILING ADDRESS ZIP Actual Set Backs in Feet to:-.? p+
.31 \ \ 5l'S6 (L!< �t20 • a�lOrsi., North South's East %-,' West 1 1
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential
$5 k l30 ,t Commercial ❑ .
ADDRESS ZIP Type Const. Occupancy Sprinklered
c ? M-1 ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const. Valuation Remodeled Valuation Total Bldg. Floor Area
5. 5-7 j 1(.5 1 - - — 1152,
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
6. 1 coo 1 —
No. Baths No. Floors No. Fin Rooms No. Dwellings
TYPE VNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. F )
7. OF ❑ OTHER
WORK VBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL orvazianExempt. Required Yes❑ No Number
Received Yes❑ No❑
DESCRIBE WORK Shorelines/ Flood Hazard Plans Required - /
8. � tvC L.—_ 'P to rvi.k,,/ ►Zss � DC Nc� Yes❑ Not Applic. ❑ Received L7
VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership / FEES COLLECTED
9 OF PUBLIC � SEPTIC public ❑Private I�
�% UTILITIES PRIVATE ❑ SEWER
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 Buildings`-�
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 Plumbing
SIGNATURE OF APPLICATI?N
OWNER OR AGENT, DATE _ Mach.
SPECIAL APPROS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env. Health
�l SEPA
Planning Modular/
MFG. Home
Prevent.
Engineer
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. 3 PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building F IN 180 DAYS
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES ApPERMIT. /�
DATE (�sl1�63 1 —8 PERMIT 204 3. " ° * 3 5 8.O 0*hAL
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