1984, 05-14 Permit 84A-4174 GaragePLAN NUMBER
APPLICATION/PERMIT
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. 5.. C10 3 Dr=SMET"
PARCEL NO.
tom' 135 3:2. — Ochu
2. ! ti LOT
12,
owfiefi
.�t)I1N ciom-Z
3
4.
MAILING ADDRESS
5•lµc�� IA) INTFR_-
G N-TRACTOR- 01AWER,
ADDRESS
PHONE
ciz,?--571.-
LICENSE EXPIRES
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION: Lir& 10/ I I) 12 .BL.
Actual Set Backs In Feet to:
North I 0 'South
Size of Parcel /
Iz(vWO/
Type Const. Occupancy
v M3
N
{East 1
West 4'
Zone Classification
M U.F
Residential
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
fJ
DESIGNER
5. ADDRESS
6.
CHANGE OF USE FROM
TO
PHONE
ZIP
New Const. Valuation 1 Remodeled Valuation
Main Floor
Cover Deck
Upper Floors
Uncv. Deck
Garage/Storage
720
Fin. Basement
Total Bldg. Floor Area
172-0
Greenhouse
Unfln. Basement
TYPE LEW ❑ ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF
WORK BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Cart'''. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ No
Number
8.
DESCRIBE WORK
VALUATION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
PUBLIC.L
PRIVATE ❑
SEWAGE/
SEPTIC
SEWER 0
Shorelines/Flood Haze d
Yes❑ NotApplic. ❑
Plans Required ❑
Received ❑
Ownership
Public ❑ Private
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 specifi d herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the ppr isions o any other state or local law regulating construction or the performance
of construction. SEE REVERSFJSIDE FO UIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
PRELIM. FI L DATE
PO/
APPLICATION
DATE
SPECIAL CONDITIONS 4SEREVERSE SIDE FOR NOTICE)
5i,11/J?INet_ 13t4ILY PRIo'er -To O13YAikli!k PEW>1i'T
p 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
�(i061
Dt� V(S`ec?) `1�F
ir
TITAL $
PERMIT NUMBER
02* *68.00
68.00�
A *000
8250g
08-26-83
72 6.479.
f)l
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQSC� �SUEDI17 _; 8.' 4 4
PERMITI14. 7 4
*6 8.00, L
SUBDIVISION
.S?oKAA►E. sG-l40-N
BLOCK
2-
e Sfrte7