1983, 10-26 Permit 83B-926 GaragePLAN NUMBER
PERMIT NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTP.1,ENT 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 LOT ` BLOCK SUBDIVISION J
2. e;o1A1,,I kW , ID 121\I%•
OWNER
3 Cv ry�
MAILING DDRESS
E 13? C
CONTRAQTO,�
4. s,4Vt"!
ADDRESS
6
PHONE
LICENSE EXPIRES
PHONE
ZIP
PHONE
ZIP
PARCEL NO. 1 c3,5 ( I
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North 'South [East 7 I West
Zong Classification
RiCr
Size of Parcel
17>< Go
Type Qo OccMafcy
Residential B"
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
DESIGNER
5.
ADDRESS
PHONE
NewConst. Valuation 'I Remodeled Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
•
Garage
Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fln. Basement
Untin. Basement
TYPE 4 W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF WORK 2"BLD. ❑ PLMB. ❑ MECH. 0 M.H. ❑ POOL
0 OTHER
No, Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ No❑
Number
8.
DESCRIBE
iV�1�G_.rL W9�K f�
VALUATION SOOURCE GAS
F
UTILITIES
9.
ELECTRIC
WATER
PUBLIC PE -
PRIVATE ❑
SEWAGE
SEPTIC
SEWER ❑
Shorelines/Flood Hazard Plans Required El
Yes Not Applic. ❑ Received ❑
Ownership
Public 0 Private
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 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 APPLICATION .jji f . �/
OWNER OR AGENT .' y� DATE /G !�
SPECIAL APT!)VALS ECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
(O/
ok liAnerae(bl .n ,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 $
02* *54.00
* 54.006
FI *0.00
9252
10-26-83
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATETS ED2 t 8 PERMIT Nc U Z O.
*54,00 1AL