1983, 05-04 Permit: 83A-3650 Storage BuildingPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY -7DERARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
N • 117
LOT
2.
BLOCK
SUSDIIVIS
PARCEL NO
47oor5
ON
CANER 0—J1 �V �pV y�
3. MAILINv- 1 tDESS
,y r—✓
4.
CONTQAC b
LICENSE EXPIRES
PHONE
x
PHONE
LEGAL DESCRIPTION:I- I - /� I op 1.4I oP
6 ZSo Sfi' i4 of &t4 or is44
Actual Set BacksckIn Feet to:
North 3 / (South
East
west 50
ADDRESS
ZIP
Size of Parcal Zode Classification
ao )G —le 0 A R,(L,
Ty at Spr nklered
DYes ONo Req. d.
Ts
Gamy
Residential
Commercial D
DESIGNER
5.
ADDRESS
PHONE
New Const aluatiaon
4:2 -
Remodeled Valuation
Total Bldg. Floor Area
ZIP
Main Floor
Upper Floors
Garage/ forage
0
Greenhouse
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
W 0 ALT. 0 AD' N. 0 RPL. ❑ MVE.
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
Cover Deck
No. Barns
Uncv. Deck
No. Floors
Basement
Basement
No. Fin. Rooms
. Dwellings Unfin.
Certifi. of Exempt.
or Variance
Required Yes No0
Resolved Yes0 No0
Number
DESCRIB
�t�J O .a C
8. �_dl ✓t�Jl
Vic:20 vi/o
Shorelines/Flood Haza d
YesO Not APPlic.D
Plans Required 0
Received 0
VALUATION
9.
SOURCE
OF
UTILITIES
GAS 1 ELECTRIC
WATER
PUBLIC
PRIVATE0
SEWAGE /
SEPTIC o
SEWER 0
Ownership
Public 0 Private8'
I hereby certify that I have read and examined this appl cation 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 APPLICATION l7
OWNER OR AGENT ! ?e./iJ'I.,Q-liYt / DATE•
/sa?
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
+' PRELIM. FINAL DATE
Env. Health
Planning
� U 511/c5b
Fire
Prevent.
Engineer
Litanies
SEPA
Plans
Exam.
Building
Tech.
5/¢
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 $
47
PERMIT NUMBER
c ,/l —3650
02* *47.00
*47.006
A *0.00 0
364.92
05-04-83
3 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS
�BECOMES A PERMIT. j `(7 C
DATE ISO YSUED1 3 PERMIT NO. 5/ O 2 * 4 7. O a TO AL
ACCS 41,
Is COWS ree I
deetzede Rio