1983, 11-09 Permit: 83B-1466 BarnPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - DEPARTMENT OF BUILDING .& SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1 i r114
LOT BLOCK SUBDIVISION
PARCEL NO.
4.
5.
OWNER
MAILING ADDRESS
e-
CONTRACTOR
L -1- (' 'r'J-T
ADDRESS
r n ! ro)( 1+772 -
DESIGNER
PHONE
L4rSE XPIRES
Ito
ADDRESS
CHANGE OF USE FROM
•
PHONE
HON
IP �J
ONE
ZIP
TO
TYPE EW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7• OF 0 OTHER
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
b543 9.0c,„7
(0,1 ��
LEGAL DESCRIPTION:
Actual Set Backs In Feet to:
North 'South
Size of Parcel U
`e -o49 >C
Type V J
New Const. Valuation
Main Floor
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
LEast 1.2/.. I West
ne Classification
Residential
Commercial ❑
Sprinklered
❑Yes ❑No ❑ Req 'd.
Remode ed Valuation
Total Bldg. Floor Area
Upper 'Dors Garagrtorage
2 32 -
Greenhouse
Uncv.l7i;ck Fin. Basement
UnfIn. Basement
No. Floors
No. Fin. Rooms
No. Dwellings
8. DE IBE WOR
VALUATION
9.
SOURCE
F
UTILLIITIES
GAS
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Required Yes❑ No❑
Number
Received Yes❑ No❑
Plans Required
Received
ELECTRIC
WATER/
PUBLIC
PRIVATE
SEWAGE
SEPTIC
SEWER 0
Ownership
Public 0 Privet
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
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 pro j •ns of any of r state or local law regulating construction or thypprformance
of construction. SEE REVERSE OR REQUTAEQ NSPECTIONS
SIGNATURE OF
OWNER OR AGE
APPLICATION
DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
kc
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
1!.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
-25
PERMIT NUMBER
+,
02* *75.00
*75.006
A *0.00
14658
11 m-09-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11-09-83
DATE ISSUED
146,62 *75.000
PERMIT NO. T TAL
OREST MEADOWS 2
430FT OF E200FT OF W335
j 2 44 N400FT (J -
OF F£10773FT OF_AJi/4