1984, 04-13 Permit: 84A-3330 Storage BarnPLAN NUMBER
APPLr.ATION /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.
STREET ADDRESS
PARCEL NO. I 05_r'4 -- 131 G
LOT
2.
BLOCK
3
3.
SUBDIVISION
CD28i N A-Pp
OWNER
� �E u
MAILING AD RESS
Sir► e
CONTRACTO
4 1 AN D(` " 4 . . S 1 ' Y , p'S
AtTESIC V (l.0 SPOik ()OA .
DESIGNER
412027 _0142,
PHONE
3
LEGAL DESCRIPTION:
5.
ZIe,)cIOL (o
LICENSE EXPIRES
PHONE
53s -s tts
ZIP
Actual Set Backs in Feet to:
North ICC I 'South E' r'East i ;2,t
Size of Parcel
Typelgt I Ocr, pansy
West
Zone Cl sification
Residential
Commercial ❑
Spr'nklered
❑Yes ❑No ❑Req'd.
PHONE
ADDRESS
ZIP
New Const. Valuation
"G120.0%
Main Floor
Remodeled Valuation
Total Bldg. Floor Area
Upper Floors
Ga /$t
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
rIor ge
Fin. Basement
Greenhouse
Unfin. Basement
TYPE 74.NEW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No❑
Received Yes No❑
Number
8.
DESCRIBE WORK
I i(17,0` cTbvAcoe. okil,r\I
Shorelines /Flood Hazard
Yes❑ Not Applic. ❑
Plans Required ❑
Received ❑
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
SEWAGE
SEPTIC
SEWS ❑
Ownership
Public ❑ Private tg..
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 �. q•�.,isions of any other s . to or local law regulating construction or the performance
of construction. SEE REVER : FO RE. d J' ED i CTIONS
WAY billir°17
SIGNATURE OF
OWNER OR AGENT
APPLICATION
DATE
/al
SPECIAL APPROVALS
PRELIM. FiI1tAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
00
1=1+,6
1/7y
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
LAC fk C,0 -C - dzc - 2 - o SC (.•.
a
No bathroom facilities within the barn7\ �`\
6\
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
u2*
*192.00
* 1 92.006
*000
327.4=
04 -12 -84
6 4 7 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE`ISSUED
-_ PERMIT. 3. O °z *1 9 2, 0 0 IOWAL
BUILDING PERMIT APPLICATION WORKSHEET s 4
PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND S
(Please return this original and your building plans to the Department of Building and Safety)
1 Owner's Name (last) (m) Department Use Only
K (w.) y $JERLY(J,11 Res. Comm
2 Project Address (not Mailing Address) or Road Name Space Zip
E. /82ot ALK/ 97o'C
3 City /Community
GROW ACRES.
State
WR til
Subdivision /Plat Name
Coro:.. iLQ 4-.oi,
4 Assessor Parcel No.
IaSr — /T /O ��
parr' —tom 9 -,-
Lot
L
Bloc
k 13. * * ♦ DEPARTMENT USE ONLY * * *
5 Sic Code Zone Act. #
Zone Project No.
6 Dwell #
No. of Buildings
Sq. Ft. /Acre
Depth
Frontage
■ 7 Set Back -Front I
(L)S -1
4I
(R)S -2
If t Rear
Census Tract
I Module No.
Initials
16 Architect Firm Name
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Contractor Firm Name
.44116/1411K SEEL 8L661" Coek in dAilr.ie
Street Address
_ ,J. /6,4- L.AJC' RD,
Zip
91242_
City
Spa it 4Nf
State
west.
Phone
(co") (Ts' -Sirs"
Contact Person
MARs/mit *it OWE Coc,t i, .
License No.
co- cK- RC- 4c2 -o$cN
Phone if different than above
( )
8 Owner /Agent (if different than #1 above)
1 Business Address
9 Zip
City
State
Phone
( )
12 Review Required
Plan Check (Y /N)
Other (Y /N) 1
SEPA Exempt (Y /N)
Date
15 Type Work Bldg
❑ Fire
❑ MH
❑ Demo
, New
n, Add /Alter
❑ Replace
❑ Move
❑ Other
14 Describe Work
,r6 K 12.o X ,S- -5=i-orate 'Mirn
10 Applicant Name
LANOIMIsg It J7EF4 gLbat by abet lr a,,ifrit.+-:•kr..
Street Address
N. (ot4 LAKE Rn.
11 Zip
q4107(A.
City
SPokI4Ar
State
w40 04.
Phone
(Of ) S'7,•- sr- i /s
Lender
Street Address
Zip
City
State
Phone
( )
Contact Person
Phone if different than above
( )
Additional Information
Application Type
(Standard unless
otherwise indicated)
Fast Track
Early Start
DEPARTMENT APPROVALS
This is not a Permit
(Indicated approvals required in either "release" or "release with conditions"
space prior to permit issuance.)
•
Environmental Health ❑ Commercial; ❑ Residential
W. 1101 Colitg9 ❑ New Construction; ❑ Bldg alteration /addition
Room 100 ❑ Additional structure;
APPLICAtT'fONN#' ` 1 • -r,"`,
Conditions /Comment•
A
diAer, )1679
Release •
Release
wtcond 1
Hold 2
"1LX. .
4// "Z_
- t' - - •r^�115
iU
L. E
Planning /Zoning:
N. 721 Jefferson
Conditions /Comments:
❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage;
❑ Setbacks; ❑ lot w /d; ❑ lot size; ❑ use /zone;
❑ CU, variance, zone change; shoreline; ❑ fence;
❑ Other
Engineers: ❑ Commercial; ❑ Residential;
N. 811 Jefferson ❑ drainage ❑ new access /approach;
A ❑ roec4i overients . ° ... i
Conditions /Comments• °
❑ Flood Plain;
❑ fence;
X1'0
:.•. •-:.,
Utilities:
N. 811 Jefferson
Conditions /Comment•
Other:
.• •
Plan Exam
Fire Prev.
., 41,, 4/.1,
Conditions /Comments 'I- Y�
•
.a,•• -,44a 'V $ g ') ;
.11 0,
s
Information
Project Representative Telephone
Agencies Performing Special Inspection:
1
2
3
1 Indicate above or attach conditions relative to final as built approval
2 Indicate above or attach reasons for hold
.LANDMARK
STEEL BUILDINGS°
N. 1014 LAKE RD.
SPOKANE. WASH. 99212
BY COCKRILL CONST. INC.
(509) 535 -5115
4 ACRES
Scale,
°'z „ -50,
198'
X56
z96'
E 082O[ ALK1
"Why have just a building, when you could haue a LANDMARK "rM
U
D d
8
IT