1983, 07-06 Permit 83A-6224 GarageHrrLic:A I IUtI/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 ADDR =SS
1.
LOT
2 OWNER
3 Ig06'f P- F11- N ,
BLOCK SIr%IV IO� t seal
I vA7YZ1 1L6�G".
MAILING!�DPRESS Ip
A 7 I� 9D�v
PARCEL NO.
PHONE
cowl-plc-4o
4. jew,
ADDRESS
DESIGNER
5.
•
ADDRESS
CHANGE OF USE FROM
H 3431
LICENSE EXPIRES
PHONE
ZIP
PHONE
ZIP
TO
TYPE A NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK 12,// LD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRI E RK
8. r7
VALUATION
9.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North
Size of Parcel
SOOx
Type
South
East
West
ZC`assiflkati -
ncy Sprinklered
❑Yes ❑No ❑Req'd.
Residential
Commercial ❑
New Coist. Valuation Remode ed Valuation
moo
Main Floor Upper Floors Garage/Storage
Total Bldg. Floor Area
Greenhouse
Cover Deck
No. Baths
Uncv. Deck
No. Floors
Fin. Basement
No. Fin. Rooms
Unfin. Basement
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes❑ No❑
Number
SOURCE
F
UTILITIES
GA
ELECTRIC
WATER
PUBLIC
PRIVATE ❑
SEWAG
SEPTIC
SEWER [Ti
Shorelines/Flood Hazard
Yes NotApplic. ❑
Ownership
Public ❑ Private-ar
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 REVE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGE T
SPECIAL APPROVALS
PRELIM. FINAL DATE
APPLICATION
DATE 7� ' "
Env. Health
Planning
1/8
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ./
Received 34
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
7
61
PERMIT NUMBER
022`
02* *61,00
62232
07-25-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
%►+I•
DATE ISSUED` PERMIT 6g 3 PERMIT RO_ z * 6 0 t01TAL