1983, 06-24 Permit 83A-5752 Garage4.
ADDRESS
PLAN NUMBER
APPLICATION/PERMIT
$POKANE COUNTY - DEPART^4 =NT 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. 5, i .7 s-co 4- `'{
LOT
2.
BI OCK
SUBDIVISION
-��► I >14enr-r• *-ram , r•ZkI
3. OWNER
' �v 24
MAILING ADDRESS
2_4_14
CO`NTfpt
LICENSE EXPIRES
•
DESIGNER
ADDRESS
CHANGE OF USE FROM
•
PHONE
PHONE
ZIP
PHONE
ZIP
TO
TYPE fW 0 ALT. AD'N. 0 RPL. 0 MVE.
7. OF
WORK BLD.
8. �ff��
DESCIAF*WO
9.
VALUATION
❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL
0 OTHER
SOURCE
F
UTILITIES
GAS
ELECTRIC
4
PUBLICRfl
PRIVATE ❑
SEPTIC
SEWER 0
PARCEL NO.
LEGAL DESCRIPTION: 6- ke.)2.I or , I
rJ . zr�ol L r (4- I Nam. t/J�cWc- . p
Actual Set Backs In Feet to:
North South
East / 2'
West
Size of Parcel
Z. eClassification
Residential tr
Commercial 0
Type Co_ r%gt.l OccupgnGy
New nst. Valuat
Main Floor
n
Upper Floors Garage/Storage 6
Uncv. Deck Fin. Basement
No. Fin. Rooms
Spr nklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Cover Deck
No. Baths
Total Bldg. Floor Area
No. Floors
Certlfi. of Exempt.
or Variance
Greenhouse
Required Yes❑
Received Yes
No ❑
No❑
ShorellneslF
Yes No
Iood Hazard
t Applic. 0
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 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 REVERS SIDE FOR REQUIRED 1 _ PECTIONS
'IGNATURE OF
JWNER OR AGENT
A.
APPLICATION "-01,
DATE
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
I''"'rvL"I
SEPA
Plans
Exam.
Building
Tech.
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
2
Other (Specify)
TOTAL $ G
PERMIT NUMBER
A-5751-
02S 1 ®6t41 (14160
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATES LS r2 4-u 3
PERMIT5la5, 2 z
1,0 0 ttq AL
_0/700/sV
Joe)
Sz