1983, 06-16 Permit: 83A-5355 StorageLPLAN 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
STREET ADDRESS
1.
LOT
2. a
. tb14, Cvu t�
BLOCK
PARCEL NO.
SUBDIVISION
Ct-�5
3.
OWNER
MAILING ADDRESS
PHONE
C tY't g-
PHONE
c – g'I?i
LEGAL DESCRIPTION:
461-cot
/k /y 41-66,0
CO 5RACT
4.,
ADDRESS
Zt 77()A6
5.
,lJf/,�l
DESIGNER
ZIP
LICENSE EXPIR S HONE
s571/) ,d k
"a": � 5 -5739
i/i . /),v/ IZ rrYrf:-s
PHONE
Actual Set Bpcksin Feet �(� to:
/ '7
North South [East / /
Size of Parcel Zone Classification
..5.5 '7' X 8,z. =;
/
West
Residential C�
Commercial ❑
Type Const. Occupancy
ADDRESS
ZIP
Sprinklered
❑Yes ❑No ❑Req'd.
Total Bldg. Floor Area
1,
ew Const. Valuation
Main Floor
Remodeled Valuation
Upper Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE ['NEW
7. OF /
WORK CI BLD.
DESC WORK
if
9.
❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑
Received Yes 0
VALUATION SOURCE
UTILITIES
GAS I ELECTRIC
/
WATER
PUBLIC O
PRIVATE ❑
SEWAGE
SEPTIC ❑
SEWER ❑
Shorelines /Flood Hazard
Yes ❑ Not Applic.
No
No
Number
Plans Required
Received kit
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 REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FIN DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
Iu
PECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
APPLICATION
DATE - 7
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building ‘2,
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ 6-Ce
PERMIT NUMBER
B3Pc
;J2*
*6800
*6800'6
A *0.00 S
52592
06 -14 -83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE'IJED1 6 - 8 3
PERMIT 511). 5 5 z
*68.00 TOTAL
�► � STEE�L
j BUILNNGSJ �
Post Falls, Idaho (208) 773 -5809
Spokane, WA (509) 455 -5139
i ;ame R:)BERT CR0 'E ?=t
Address S• 1814 BALFOUR
City SPOKANE State I?TGT0'T
County SPOKANE Zip
99206
Telephone 924 -569°
Representative
MARSHALL COCKRILL
LEGAL;
LOT 9 BLOCK "C" C:ESTER HILLS ADD.
1814 S. ''.LFOUR
-4c.k:I o'
B FL r,
46
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