1983, 07-13 Permit 83A-6445 Garage AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPAR'MENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1. . 9 2i GC)1A-4 kt
LOT BLOCK SUBDI ISIO
2. (? '� 46cro)
OW E
MAILING ADDRESS
7 j �ow�
CONTRACT
4.
ADDRESS
PHONE
LICENSE EXPIRES
IP
iz
ZIP
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North 'South \,St !East
Size of pa 1 I
II 1 c2
DESIGNER
PHONE
Zone CI7 cat n
'7 1 .z
West t`'
Residential g7
Commercial ❑
Type_Cgns Occupancy Sprinklered
V ❑Yes ❑No ❑Req'd.
Newnst. Valuation Remode ed Valuation
ADDRESS
ZIP
Main Floor Upper Floors
CHANGE OF USE FROM I TO
Cover Deck
Uncv. Deck
GaragelStorag
Fin. Basement
Total Bldg. Floor Area
-24)
Greenhouse
Unf in. Basement
TYPE ❑ NEW ❑ ALT. 1 AD'N. ❑ RPL. ❑ MVE.
7. OF
❑OTHER
WORK IiBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
8. G� p�� �'> / j 191 1I
VALUATION SOURCE GAS
UTILITIES
9.
DESCRIBE WORK
ELECTRIC
PUBLIC.C�
PRIVATE ❑
SEWAGE
SEPTIC P7
SEWER ❑
Shorelines/Flood Hazard
Yes Not Applic. ❑
Ownership
Public 0 Private
Required Yes
No
Received Yes❑ No❑
Plans Required
Received a
I hereby certify that I have read and examined this appl cation 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 compiled 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 constr. • or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INS: CTIONS
SIGNATURE o ' APPLICATI
OWNER OR DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
‚LI
Env. Health
Planning
/3
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
7-2
Sp CIAL C! DITIONS: (SEE REVERSE SIDE FOR N sJ CE)
/4
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 $ I.
PERMIT NUMBER
02.* *61.00
*61.006
A '*0.00
6442
0 7- 1 3-83
2. 6.479.
f
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE lbSUED1 8 3
3
PERMIT 4044,5 5 * 6 10 OUL