1983, 07-18 Permit 83A-6609 GreenhousePLAN 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
1.
2.
STREEDDRES '2-I id P1cKif
BLq,CK
SUBDJVI ION o` +�V I 7
3.
4.
OWN, AFL l A I OOKi
MAIlza4G ADDRESS
72,1 I KVINNIN
COftTiilC1
w
ADDRESS
LICENSE EXPIRES
PHONE
ZIP
PARCEL NO.
'97f543_01(04-
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North (South S i !East
Size if Tercel
e
Type M
upancy
7 .2
!West 2 i
Zone Classification
Residential E
Commercial ❑
Spr nklered
❑Yes ❑No ❑Req'd.
DESIGNER
FJ. ADDRESS
PHONE
ZIP
New Const. Valuation
Upper Floors
Main Floor
Remodeled Valuation
Total Bldg. Floor Area
Garage/Storage
Gregnh
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fln. Basement
Untln. Basement
TYPE ❑% EW ❑ ALT. (3.%/6,D1 N. 0 RPL. ❑ MVE.
7. OF {�J BLD. 0 PLMB. ❑ MECH. 0 M.H. 0 POOL
WORK
❑ OTHER
No. Baths
No. Floors
No. Fln. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No0
Received Yes ❑ No❑
Number
8. DESCRIB WRI.0 V J � /fsioo i'�� CJ V
VALUATION
9.
SOURCE
F
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC
PRIVATE 0
SEWAGE
SEPTIC
SEWER ❑
Shorelines/Flood Haze d
Yes NotApplic. 0
Ownership
Public 0 PrivateAJ
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 r isions of any other state or local law regulating construction or the performance
of construction. SEE REV DE FQ EOUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
APPLICATION/8 rfl
DATE �f�
SPECIAL APPROVALS / SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
L�.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Pans Required
Received
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular!
MFG. Home
Other (Specify)
TOTAL $
PERM ITMBER
02* *117.00
*47.0n
A *0.00
6608-g
07-1L-83
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
ll'ED1 8 - 8 3
d
PERMIT 606 O, 9 z
*47,0OT IL
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