1983, 10-31 Permit 83B-1130 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
U 30
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
2.
STREET ADDRESS
LOT
OWNER
3 4_1vc�
MAILING ADDRESS
C.18oaq-
BLOCK
4.
5.
CQNTRAQOR
uw CtZeSe,,)
ADDRESS
DESIGNER
ADDRESS
:2o
CZ? U.3 LEy
SUBDIVISION
P I FJ - APP, 611tA PG-,
PHONE
PHONE
LICENSE EXPIRES
ZIP
arc
PHONE
ZIP
PHONE
ZIP
PARCEL NO. ,gr - III .
LEGAL DESCRIPTION: 0 j r „w ,l
Actual Set Backs in Feet to: >Y 911
North I South East — I
West
Size of Parcel ne Classification
22v x 001`�I
Type Const.
Occupancy
:25
New Const Val alion
15.
6.
CHANGE OF USE FROM
TO
Main
Cover Deck
Residential
Commercial 0
Sprinklered
❑Yes ❑No ❑Req'd.
-Remode ed Valuation
Upper Floors
Garage/Storage
Total Bldg. Floor Area
Greenhouse
Uncv. Deck
Fin. Basement
Unfin. Basement
7.
TYPE ❑ NEW ❑ ALT. VD'N.
OF p�BLD.
WORK
0 PLMB. 0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ Non
DESCRIBE WORK
8
ADD - o
VALUATION
9.
SOURCE
OF
UTILITIES
1Z_1- (`aDLry Cc
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGE
SEPTIC
SEWER 0
Shorelines/Flood Haza d
Yes ❑ NotApplic. ❑
Ownership /
Public 0 Private f]
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 provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF - l APPLICATION / q
OWNER OR AGENT — -eri aT DATE
SPECIAL APPROVALS SPECIAL CONDITI • S: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
litt6/
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
It
r_—
/L9
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Number
Plans Required [d/
Received 6
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
32--
TOTAL $
*32.00
*32000
0.00
89,02
10-26-83
6.ti79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1 0 ,' ' 3 1 u 7
DATE ISSUED )
11-5,
PERMIT NO.
*36,00 2-
TOTAL
T
00. 00
CORBIN ADD GRNFlCRS PRT
OF L14-17 B1S L14 EXC NLY 5F7 E1/2 OF 17 EXC NLY SFT
0A0