1983, 12-16 Permit 83B-2597 GarageI-L IN NUIVIDGII
M LIt.:A I IUN/ I'LHMIT
SPOKANE COUNTY — DEPARTMENT'OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
STREET ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
it
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LOT
2.
BLOCK
SUBDIVISION
OWNER
3. Ci4E.-1-:c Alt u za.Ay
MAILING ADDRESS
CONTRACTOR
4 N — Ufvt-WO
ADDRESS
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DESIGNER
5.
ADDRESS
l4Cd3Z
PHONE
LICENSE EXPIRES
CHANGE OF USE FROM
6.
PHONE
ZIP
Ga�c�
PHONE
4.26- zZ.?C,0
ZIP
C4C(1l4
PHONE
ZIP
TO
TYPE 6 'NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7 OF WORK WBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ElPOOL ❑ OTHER
PARCEL NO.
C15r
LEGAL DESCRIPTION: .e+l 13t t-Z
�tr Gt2Ct f,`-�T
Actual Set Backs In Feet to:
North ts-& 'South
Size of Parcel
05 Co)L��
TY�e Const.
Occupancy
rn- i
New Const.. Valuation
Ci
[East \1G�
Zone Classification
West -
Residential V
Commercial ❑
Sprinklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Garage/Storage
Main Floor
Upper Floors
Total Bldg. Floor Area
Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
No. Baths
No. Floors
No. Fin. Rooms
Unfin. Basement
No. Dwellings
i
Certifi. of Exempt.
or Variance
Required Yea❑
Received Yes❑
No LA
No ❑
Number
DESCRIBE WORK
8. in -
/Li_ Pt(x6
VALUATION
9.
SOUR
F
UTILITIES
CE
wt�
ELECTRIC WAER SEWAGV
PUBLIC O SEPTICn
PRIVATE ❑ SEWER ❑
Shorelines/Flood Hazard
Yes❑ Not Applic. ❑
Ownership
Public 0 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 taws 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 REQUIRED INSPECTIONS
SIGNATURE OF T�� L`� APPLICAT�" /�/ /C�7
OWNER OR AGENT [mot"/i1 DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Ft�;k
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
r Le
Building
Tech.
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
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ i 4-
PERMIT NUMBER
-"z5c1-7
!, c
C
G0
_ ' v
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE OkED16-83 PERMIT 2d 9,75 * 114 0 0 AL