HomeMy WebLinkAbout1983, 05-19 Permit: 83A-4279 Storage Bldgr��r. r.vivrocn ,.� -
hrrL. I%./H I II%J .- r-C.n M I I PERMIT NUMBER
SPOKANE COUNTY - DEPART NT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS
PARCEL NO.
LOT
BLOCK
SUBDIVISION
LEGAL DESCRIPTION:
2.
t t
SAt2�c�
too
OWNER
PHONE
PHONE
3.
MAILING ADDRESS
ZIP
ual Set Backs In Feet to:
. ?313 <S' t 94kW_0 CT ,
QC{' j `
North 96' South East 3ni West
CONTRACTOR
LICENSE EXPIRES
PHONE
Size of Parcel
Zone Classification
Residential
4'
ft'4A'__' &
k(50 K 1 pv
Commercial ❑
ADDRESS
ZIP
Ty Const.
Occupancy
Sprinklered
t�mc
yr I
[M"t
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
t I -)�_
Z!: -:)2 -
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
%�—
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
s.
TY
No Baths No.
Floors
No. Fin. Rooms
No. Dwellings
7
OFPE @t j EW ❑ ALT. ElAD' N.
❑ RPL. ❑ MVE. ❑OTHER
WORK '� BLD. ❑ PLMB. ❑ MECH.
❑ M.H. ❑ POOL
Certifi.ofExempt.
Required Yes❑ No
Number
or Variance
Received Yes❑ No❑
DESCRIBE WORK
8'
Shorelines/ Flood Hazard
Plans Required ❑
�jfQtZc�E-�i+k�1�iN C
�A-�C1$�
Yes❑ Not Applic.❑
Received ❑
9
VALUATION
SOURCE
OF
GAS ELECTRIC
WATER
PUBLIC
SEWAGE
SEPTIC
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 cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OFAPPLICATION 1 �/
OWNER OR AGEN r DATEME
o
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
1
Planning
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. }R• PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
Tech. / IN 180 DAYS
Building
Plumbing
Mach.
Plan Check
SEPA
Modular/
MFG.Home
'!sx+Cc)
Other (Specify)
TOTAL $ 2t "p o
WHEN MACHINE VALIDATED IN T
THIS BECOMES A PERMIT.
DATEISSUED' 9 _ PERMAIa . 7' 9 '5 3 2' O O �ri-AL
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