1983, 09-14 Permit: 83A-9013 Storage BldgULAN NUMt$tH Ar'r'L IVA 1 IVIN / eLKM I
' SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
SPECIAL APP OVALS
PRELIM. FINAL DA
Env. Health
Planning
Fire
Prevent.
Utilities
Plans
Exam.
Building I
Tech. l 3
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
PERMIT NUM Edi
C/' v
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQ99 w 6
SSUED` 4 — 8 3 PERMITN9. z
* / O 0 inOTAL
CL
Q
C.3
W
J
ILL
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREETADDRESS
PARCEL NO.
2.
LOT__T BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
-!25-�' �-�:�®s' ��=
N w y� Zr Lys
OWNER
PKONE
PHONE
MAILING ADDRESS
S-//,7
ZIP y
5`Q b
Actual Set Backs in Feet to:
`d/�i� � [
l
North South East
West
CONTRACTOR c
K
LICENSE EXPIRESP
7
Size of Parcel
Zone Classification
Residential
4.
_. �?'D.
Commercial ❑
ADDRESS
lslts OF,R�
ZIP
Typerrn-T,st Oxu
V
ncy
Sprinklered
El ❑No ❑Req'd.
DESIGNER
PHONE
New Const. VValuatioRemodeled
Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
Main Floor _ Upper
Floors
Garageto a
Greenhouse
CHANGE OF USE FROM
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
TO—-
TY
TYPE ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
No.Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7
;e<7N]W
El OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
8.
DESCRIBE W KShorelines/Flood
PJL�N
Hazard
Plans Required ❑
1
Yes Not Applic. ❑
Received ❑
9•
VALUATION
SOURCE
GAS
ELECTRIC
PUBLIC O
SEWAGE
Ownership
FEES COLLECTED
UTILITIES
PRIVATE ❑
SEWER ❑
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 cance ; the provisions of any other state or local law regulating construction or the performance
of construction. SEE RE RS SDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF y ' APPLICATION f'
4"iL
OWNER OR AGEW- i DATE —i
Mach.
SPECIAL APP OVALS
PRELIM. FINAL DA
Env. Health
Planning
Fire
Prevent.
Utilities
Plans
Exam.
Building I
Tech. l 3
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
PERMIT NUM Edi
C/' v
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEQ99 w 6
SSUED` 4 — 8 3 PERMITN9. z
* / O 0 inOTAL
CL
Q
C.3
W
J
ILL
COOK BROTHERS CONTRACTING JOB -'A (��h�;/E� - jlc*'y 9,P-4-3�5'�S _
Route 2 Box 853 B SHEET "O.s7 % / J E::kD q � ' OF ' - �Fs
OTIS ORCHARDS, WA 99027 �?
(509) 924-1557 CALCULATED BY f}L�?---- DATE
CHECKED BY DATE
SCALE
w.- 4os ' o r. IV. _ w _ J4' of (aav L7 -
kyr,
-kyr 9- or" .' IXC S65E
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