1983, 10-28 Permit 83B-1021 Garage2.
RrrL Ill.I I IUIV / 1-'LKIVl Il
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. • 1(01Z. _ ilvlJrr
LOT BLOCK SUBDIVISION
OWNER
3. • J , C-`• Lt^�
MAILING ADDRESS
((c57 (.it`lt /12...) r4
CONTRACTOR���,/{�
4. ADDRESS r Oa goo-)
5.
14.1CNet 5 . 3Cv�ba
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
PHONE
LICENSE EXP 4
PHONE
61211-(314
ZIP
GqC_)16
PHONE
G 2 -5441
ZIP
PHONE
ZIP
TO
7. TYPE O%EW ❑ ALT. ❑ AD'N. ❑ RPL. El MVE.
[g'BLD. ❑ PLMB. El MECH. ❑ M.H. 0 POOL ❑OTHER
WORK
8.
DESCRI8E,WORK
VALUATION
9.
PARCEL NO.
1254 * --Ol \ 5-
LEGAL DESCRIPTION; isiricA4;i4co
Actual Set Backs in Feet to:
North 12:An) South
Size of Parcel
Type Const.
Occupancy
New Const. Valuation
Main Floor
ey1—\
East to t West
Zone Classification
Residential (B"
Commercial ❑
Sprinklered
❑Yes No ❑Req'd.
IRemode ed Valuation Total Bldg. Floor Area
Za
Upper Floors
Cover Deck
Uncv. Deck
No. Batt}9�
No. Floors
/
Garage/Storage
2 -3
Fin. Basement
No. Fin. Rooms
Greenhouse
Unfin. Basement
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes❑ Not
Yes No❑
Number
Aco 6
SOURCE
OF
UTILITIES
GAS
ELECTRIC
(4ox.4?o)
WATER SEWAGE/
PUBLIC ❑ SEPTIC ❑
PRIVATE ❑ SEWER ❑
Shorelines/Flood Hazard
Yes Not Applic. ❑
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 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 REOUIRED INSPECTIONS
SIGNATURE OF\
OWNER OR AGENT
SPECIAL APPRO
PRELIM. FINAL DATE
Env. Health
Planning
Fire
prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
a,
lc/ 7
(7
APPLICATION
DATE
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
ire IZl2..CJe:3iIj N rac .
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required ly'
Received l
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ tS(1 .
PERMIT NUMBER
83F --10
02* *15600
537g
10-18-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
a021.51 * 0024
DATE ISIUnD-- 2 8— S 3 PERMIT N. TOTAL