1983, 11-10 Permit 83B-1550 GaragePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
E . i Ode 114- l•k-G t-Ary%..csav
LOT BLOCK SUBDIVISION
2. \C.1..e iZ
OWNER
3. P v's c
MAILING ADDRESS
C • lb4A- 1#0‘- IN/
CONTRACTOR
4. Alm Fa
ADDRESS
i1...ia
DESIGNER
OSD'CT t 0 r.)
PHONE
9.-3 -4
LICENSE EXPIRES
2N E
ZIP
PHONE
2-*-�4 f4
PARCEL NO.
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North t I 'South East
Size of Parcel
14- ' K'34o
5.
ADDRESS
CHANGE OF USE FROM
ZIP
PHONE
ZIP
TO
TYPE EW 0 ALT. 0 AD' N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL
DESCRIBE WORK
8. 'T)e.i.ALb f cZ pcLE
VALUATION:
9.
SOURCE
UTILLIITI ES
GAS
ELECTRIC
2
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC
SEWER ❑
Type Const.
Occupancy
Ne nst. Valuation
Main Floor
West `J /
Residential
Commercial ❑
Zone Classification
Spr'nklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Upper Floors
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Garage/, for ge.
Uncv. Deck
No. Floors
Total Bldg. Floor.Area
4
Greenhouse
Fin. Basement
No. Fin. Rooms
Required Yes❑
Received Yes CI
No
No❑
Shorelines/Flood Hazard
Yes ❑ NotApplic. ❑
Ownership
Public ❑ Private Or
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 th.c provisions Aany other state or local law regulating construction or the performance
of construction. SEE REV Ejt 4 F001 UIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
APPLICATION
DATE
SPECIAL CONDITIONS: (SEE)tEVERSE SIDE FOR NOTICE)
1 G LfV/0
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
tsN
Building
Tech.
fro
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number -
Plans Required d
Received Q
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
i 5SC,
02* *75,00
*75.006
A *0.00 8
153.9=
1:1-10-83
6,479.
,P,
1540r
11-10-83
6479.
m
2
FILE C(1PV
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEkS1UED1 I,I m, 3
155.02 ir75:00aH
PERMIT NO. TOTAL