1983, 07-12 Permit: 83A-6401 Storage BuildingPLAN 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.
2.
STREET ADDRESS
N �C� s -NN414-.)
LOT
BLOCK
SUBDIVISION
PARCEL NO.
C3C-4 tD_
OWNER
3.
4.
N .�G�c�"T�
PHONE
PHONE
Ck24 -G74Z
LEGAL DESCRIPTION: Wes Ffart.nt5 iR-ra• 4 ALcx
MAILING ADDRESS
l•-) '4.52 - cj■
ZIP
Actual Set Backs in Feet to:
North 3' _South East 5' I West
CONTRACTOR
Cm) _tt�ECZS
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
2r
Residential CJ`
Commercial ❑
ADDRESS
2-1 2 -bog. r3
DESIGNER
ZIP
QC( c2
Type�st.
TU
Occupancy
11A-
Spr'nklered
❑Yes ❑No ❑Req'd.
PHONE
5.
ADDRESS
ZIP
New Const. Valuation
4 SI 104-
Main Floor
Remodeled Valuation
Total Bldg. Floor Area
/
Upper Floors
Garage /Storage
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE (I NEW
7. OF
WORK LLD.
❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
No. Fin. Rooms
Required Yes ❑ No£7
Received Yes❑ NoH
8.
9.
DESCRIBE WORK
C; c0RN.aE
VALUATION
SOURCE
OF
UTILITIES
t' 4.1410 624-1(3C)
GAS
ELECTRIC
WATER
PUBLIC ❑
PRIVATE ❑
Shorelines /Flood Hazard
Yes El Not Apollo. ❑
No. Dwellings
Plans Required f '
Received d
SEWAGV
SEPTIC
SEWER ❑
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 REV a. SIDE FOR REQUIRED INSPECTIONS
ra
SIGNATURE OF y
APPLICATION
OWNER OR AGENT .1 -t '` ' � DATE 1 / - P
SPECIAL APPRO' LS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
7//
ON
fit(
,92?-
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building c' _
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ cOg .cO
PERMIT NUMBER
Atek
6400-
07 -12 -83
- 6479.
t24o1
*68.00
*68006
*0,00
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEVSSUED1 2 - " 3
PERMIA .0, 1 z
*68.UU AL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
(509) 924 -1557
JOB 17AN Nf��
/� 7�oT 5344n 7 0-
SHEETNO./}'— g,O %74' C��� , /_
CALCULATED BY c" * � r�
DATE
CHECKED BY DATE
N I
SCALE k-
W FARM. _" rfIR ti?- AkE xANdg:R
47- PAR.0 EG .............. ................._;............
35 . - .ogra -.
216'
GPg
•
x....7_,3'...._;
•
FORM 204 Ara4able fromEBS rNC Townsend.Mass 01470
c½000
ft
11
70
47- '5-•
/4 ,q/iNe4/
4 -a v- 389
5?,
,may • l- e s