1983, 04-01 Permit: 83A-2530 ResidencePLAN NUMBER APPLICATION/PERMIT '
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
STREETADDRESS 71PARCEL NO.
1. F .liGp4 a3 V rry
LOT s1ocK SUBDIVISION LEGAL DESCRIPTION:
2 v�
PERMIT NUMBER
O
C.3
W
J
-
OWNER
G-rele>L.� aoanJ
PHONE
PHONE
3. Curvy �.
a.4--2507
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
15 � & c N6'g:Z f Y? rc ' -t ,
47 -L -e
North _JCS � South East I West ZO'
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4.
1yv%'QQ6C.�.�t w2
R-�i
Commercial ❑
ADDRESS
a AYvIE
ZIP
Type Const.
Occupancy
Sprinklered
��'�
VVt -)
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
C1
��
Z 4 7-1
ADDRESS
ZIP
Mai FF ,r Upper
Floors
S`rage
Garage/
Greenhouse
C,
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TY PE ❑ ALT. ❑ AD N. ❑ RPL. ElMVE.
�• TY
No. Baths No.
Z
Floors
;
No. Fin. Rooms
5
No. Dwellings
I
—/NEW
WORK [? BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑OTHER
�ifl.ofExem t.
p
Required
Yes❑ No
Number
or Variance
Received
Yes[] No❑
8 DESCRIBE WORK
Shorelines/ Flood Hazard
Plans Required
Yes Not Applic.❑
Received
VALUATION
9'
SOOUFCE
GAS
ELECTRIC
pUBLICR�
SEPT
U"nership
UTILITIES
PRIVATE ❑
CGS
SEWER
Public ❑ Private �/
FEES COLLECTED
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 of3�yt
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
Meeh.
SPECIAL APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL
DATEPlan
15 1-TCE0 --rep fl G N
Check
Env. Health
N
X34 -Z6;-so
SEPA
Planning
Modular/
Fire
MFG. Home
Prevent.
Engineer
313i
Other (Specify)
Utilities
TOTAL $ sq, 0()
SEPA
PERMIT IS NONTRANSFERABLE
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans��
Exam.
��
THIS BECOMES A PERMIT.
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tuech mg1,/8
IN 180 DAYS
T
DATE ISSUED PERMIT NO. TOTAL
44'1e� 3 # Z1530 +3? - 04)
O
C.3
W
J
PLAN NUMBER - APPL ICAT ION /PERMIT
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 7LEGAL
ei o4- 53 XG
LOT BLOCK SUBDIVISION RIPTION:
2. I 3
ow
PERMIT NUMBER
NER PHONE
3. 'TE.
PHONE
6i7�-Z�t3
MAILING ADDRESS
ZIP
Actual Set Backs in Feet to:
c� ( �' E+3�cct� LT•
Q
North t South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
-
4,
Commercial ❑
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
-'bokw1G
[-]Yes❑No ❑Req'd.
_.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5. (�. ,tit.4cc N -
4 r -- Si 7
�� CkC
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
1�(r}
TYPE NEW ❑ ALT. ❑ AD'N. 1:1RPL.
ElMVE.
No. BathsNo.
Floors
No. Fin. Rooms
No. Dwellings
7• OF
11 OTHER
�—
:
WORK Pf BLD. ❑ PLMB. ❑ MECH. ❑ M. H.
❑ POOL
Certifi.ofExempt.
Required
❑
YesN
Number
or Variance
Received
Yes ❑ No ❑
DESCRIBE WORK
8.
Shorelines/ Flood Hazard
Plans Required /
Si'V� e FAA' .c- ` fir; .)ErvCx;,
yes 11 Not Applic. 1-1
Received F(
VALUATION
SOOURCE
GAS
ELECTRIC
WATER
SEPTAL O
Ownership
—F
9.
UTILITIES
PUBL
PRIVATE ❑
SEWER
Public ❑Private>�
FEES COLLECTED
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 �' (.G:O
work will be complied with ether specified herein or
not. The granting of a permit does not presume to give au-
thority to violate or cancel provisions of any other st
local law regulating construction or the p rformance
of construction. SEE RE SE SIDE FOR REQUIRE
CTIONS /�
Plumbing
SIGNATURE OFAPPLICATION
/
OWNER OR AG T
DATE
Mech.
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)
i
Utilities
TOTAL
SEPA
$"
WHEN MACHINE VALIDATED IN THIS SPACE,
PExam
PERMIT IS NONTRANSFERABLE
THIS BECOMES A PERMIT.
E''
�
PERMIT
PERMIT IS NULL
AND VOID IF WORK HAS NOT COMMENCED
Building
IN 180 DAYS
04-01=83 253.Oz
tk4�9.00°�
DATE ISSUED PERMIT NO.
TOTAL
d
O
<.]
LU
J
Sp.Zb
Lot 1, B I k. 3
33 rd
A/
19,4-3 Y'VN A Iry
rj-.), r- u �.. --.- � C- 4 z >
I, -rl 6
VV%
4