1983, 03-08 Permit 83A-1598 GaragePLAN 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.
I BLOCK
OWN R
3 MAILINGADDRESS I /
CONTRACTbR
�► , NJ L1�
4. AD RESS ��
pU iti K-
DESIGNER
STREET ADDRESS , II , I
11
LOT
2. 7-.
5.
ADDRESS
SUBDIVISION
%
PHONE
PARCEL NO.
'2-I54-7- --
LEGAL DESCRIPTION:
LICENSE EXPIRES
''ZIP
PHONE
Actual Set Backs In Feet to:
North I Souttl`� I West
Size If Paul x one �ficatn
Type st Sprinklered
❑Yes ❑No ❑Req'd.
�"N
Occupancy
New nst. Valuation
4-3 2-o
East
Cas
Remode ed Valuation
2
Residential
Commercial 0
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
Garage/Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
7.
TYPE
EW ❑ ALT. ❑ AD'N.
OF kl9BLD. 0 PLMB. ❑ MECH.
WORK
❑ RPL.
❑ M.H.
❑ MVE.
El POOL ❑ OTHER
8.
9.
DESCRIBE
VALUATION
ALUUATI ON
°
SOURCE
F
UTILITIES
GAS
ELECTRIC
Nio
WATC�
PUBLIC .
PRIVAT ❑
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certlfi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes No❑
Number
SEWAGE
SEPTIC
SEWER ❑
Shorelines/Flood Hazard Plans Required 0
Yes❑ Not A plic. 0 Received ❑
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 REVERSE SIDE FOR RRQUIRED INSPECTIONS
'GNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
Env. Health
Planning
• -C-1 APPLICATIO a
DATE -�
PRELIM. FI Al_ DATE
1
0
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
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
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ �^
PERMIT NUMBER
P2A /58
02* *61,00
*61.006
A *0.00
1593z
03-07-83
P. 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE b . DO8 - 8 3
PERMITl . 9, 8 z
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