1983, 08-24 Permit 83A-8140 GaragePLAN NUMBER
/�
APPLICATION/PERM IT
' 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
1. .413t3S7—O Oo.4\4
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 VIA r.O ) iZ t„t kik
MAILING ADDRESS
E+31 Y> .-EigiK>A0 W 45ok
CONTRACTOR
4. ATGAs
ADDRESS
tN) • 3`s C111002.3zcT
•
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
PHONE
LICENSE EXPIRES
PHONE
ZIP
CIC ZOCo
PtIONE
A404/1/4-- Zoci
ZIP
PHONE
ZIP
TO
TYPE I ''NEW 0 ALT. 0 AD' N. ❑ RPL. 0 MVE.
7 OF WORK heBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑OTHER
DESCRIBE WORK
8: :1:3 C, atzJa
VALUATION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
ao
WATER
PUBLIC ❑
PRIVATE t7
SEWAG
SEPTIC
SEWER ❑
PARCEL NO.
17 543"ro4-cam ,
LEGAL DESCRIPTION: ‘,... 4. Sut3 ►'wit/ OF Tta Gil
OF G(TVe.-CLA..^.) G1GG. t.v• tie..)' �f EX< 6
►-41�- e'zitzv tas�cu «av
Actual Set Backs in Feet to:
North 'South i ]() East
Size of Parcel
toy K �Cc.S
Typmo st.
_ry
Occupancy
liet.vConst. Valuation
Main Floor
West
Residential Cl/
Commercial ❑
Zone Classification
Spr nklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Upper Floors
Cover Deck
No. Baths
Garforage
6t4C�
Uncv. Deck
No. Floors
Certifi. of Exempt.
or Variance
Total /ILBldg. Floor Area
`-c%
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes
Received Yes❑
Nod
No❑
Shorelines/Flood Haza d
Yes ❑ NotApplic. ❑
Ownership
Public 0 Private
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 provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FO RE • HIRED INSPECTIONS
SIGNATURE OF r _'� APPLICATIQF
OWNER OR AGENTJ' r DATE ��``
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
iAi(L(
Planning
chqii
Fire
Prevent.
Engineer
Utilities
SE PA
Plans
Exam.
O0.)
Ft LP -
Building
Tech.
SPECIAL CONDONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT 1S NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Requ red d /
Received g'
FEES COLLECTED
Building &Boa
Plumbing
Mech.
Plan Check
SEPA
Modular!
MFG. Home
Other (Specify)
TOTAL $ e'M
PERMIT NUMBER
02* *68.00
*68,00M
A *000
8139R
08-24-83
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
nnQQY+. _
DATE Mabel
4 t .8 3
QQ
(75
PERMIT O. *• O Nz
* 6 87 0 0,®,F,L
-1
ATLAS STRUCTURES STEEL BUILDINGS
N. 3556 Market
Spokane, WA 99207 1-509-484-2002
Marne /7 d r vi n Ru A s
Address 93/Ft Oroa1es,
CityCitypa/�i is State CV It
Cautty/ rw 9 9.20 6
Telephone 9.2 7 — a 6- r
Representative
Source of Lead
Pdre3W /7r 543 0 540r
SV64/([J, Rof T7ee t 99
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