1984, 04-04 Permit: 84A-2934 Garage AdditionPLAN NUMBER APPL1(CAT[ON /PERMIT PERMIT NUMBER
SPDXANE COUNTY — DEPARTMENT OF BUILDING & SAFE i `i'
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
Z2`� C_J L) � aL1r� - Ca
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health 1 419
Planning
Prevent.
Engineer
Utilities
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ SI
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS `BECOMES A PERMIT. QQ
DATES bO 4— i 4 PERMIT�d. 3, 4 z
*54:OOfOfAL
OWNER
PHONE
O_%NE4
(P�Hy(_ `
oles
MAILING ADDRESSrN
ZIPS•
Actual Set Backs in Feet to:
r
F_ . I t ZZ�_
��1 ��
North South East West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of P rceI
Zone Classification
Residential
y�
I t K 1--,S I
I
Commercial ❑
4.
ADDRESS
ZIP
400 nst. Occupancy
`�"
Sprinklered
❑Req'd.
�+
--1
❑Yes ❑No
DESIGNER
PHONE
raw Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
tC--?>"
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garaye/Slorage
ss
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE ❑ ❑ ALT. AD' N. 1-1 RPL. El MVE.
7.
YEW
OF 11 OTHER
WORK LD. ❑ PLMB. ❑ MECH. ❑ M.H. El
Certifi.ofExempt.
Required
Yes[]N
Numbed
or Variance
Received
Yes❑ No❑
8.
DESCRIBE WORK /^
Ak; rz,
Shorelines/ Flood Hazard
Plans Required %
Q Z a a E
Yes ❑ Not Appiic. ❑
Received HT
VALUATION
I SOURCE
GAS
ELECTRIC
WATER
PUBLIC ❑
r SEWAG
SEPTIC
Ownership -
/
FEES COLLECTED
9
UTILITIES
LI
PRIVATE ❑
SEWER ❑
Public ❑ Private"(
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
5�.05)
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
I
of construction. SEE R§XERSE SIK FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION
�>L.�����
r)VVNFR OR AGFNT�ih•.�c L��l : ,!�� DATE
Mech.
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health 1 419
Planning
Prevent.
Engineer
Utilities
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ SI
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS `BECOMES A PERMIT. QQ
DATES bO 4— i 4 PERMIT�d. 3, 4 z
*54:OOfOfAL