1983, 02-23 Permit: 83A-1258 Storage BldgPLAN NUMBER
li
APPLICATION/PERMIT
SPOKANE COUNTY — DEP'ART TENT 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. r' ll�_ 11_G 2 faf.Ci
LOT SUBDIVISION
2. to y=At(t-AC2.gS ae LAT C2c$tgcNc.a
BLOCK
PARCEL NO.
xci5•50- —Egtogcs,
-3
OWNER
141
PHONE
PHONE
LEGAL DESCRIPTION: "V.1.127 at N, i4%o' OF TE Cot
FAA aAcae Ekc. W.252.A G C
MAILING ADDRESS
E. • \1/442 GIZ.ACA%
ZIP
ctg7N
Actual Set Backs in Feet to:
North 'lb -3i !South
4.
CONTRACTOR
Actws scczuc aLeEs
LICENSE EXPIRES
PHONE
484--7taz.
Size of Parcel
gvx 14
`East "r
Zone Classification
ACR!
West
s -I
Residential V
Commercial D
ADDRESS
Nt . J's`JC. T+\AP.Ac
ZIP
4C(2en
TypeCorJ,gt.
Occupancy
IAA
Spr'nklered
OYes DNo OReq'd.
5.
DESIGNER
PHONE
ADDRESS
ZIP
Const. Valuation
Q..32a
fi
Man oor
Remodeled Valuation
or
Tote Bldg. FloArea
"72.0
Upper Floors
Garage/Storage
'120
Greenhouse
CHANGE OF USE FROM
6.
TO
Cover Deck
Uncv. Deck I Fin. Basement
Unhn Basement
TYPE Y.'/NEW 0 ALT. 0 AD' N. 0 RPL.
7. OF 19BLD. D PLMB. ❑ MECH. ❑ M.H
WORK
❑ MVE.
POOL ❑ OTHER
NO Batns
No. Floors
No. Fin. Rooms
No. Dwellings
Certiti. of Exempt.
or Variance
Required Yea❑ No
Received YesO Not!
Number
DESCRIBE WORK
8.--roczraaE
VALUATION
9.
Shorelines/Flood Hazard
Yes❑ Not Applie.D
Plans Required tL
Received l3
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
PUBLIC 0
PRIVATE 0
SEWAGEed
SEPTIC
SEWER 0
Ownership
Public 0 Private L/
1 hereby certify that 1 have read and examined this application and have read the "NOTICE" provisions included on
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REVERSE SIDE FOR REOUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
APPLICATI
DATE .X ^2, ,$
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
.KIA
Are
Prevent
Engineer
Utilities
N,N
SEPA
Plana
Exam
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Ftt..CRA t PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
2bale-6
FEES COLLECTED
Building 61 .Oe
Plumbing
Mech
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $ GI -Q9
PERMIT NUMBER
S3A - last,
02* *61.00
*61.006
A *G00
12572
02-23-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE IS2lED2•
'j•8 3
Ct
PERMITII2 A " Z
* U 10 0 *,t,,L
TLA?TRU,CTURESSTEELB.UILDING
N 56 Market; :._.:..., _ . ..
. Spokan-e;_WA799207 '--> 1=5.09-484.20
tULES :
1 Bldg. most be 5'
;2 Bldg. mst be 10
3 Bldg. must be 25
if property line
<4) Bldg. must be 10
0
'from property line
' from 'drain field
!_from property. line
is nextto a street
' from all existing bldgs.
•
HOPIEOWNER: Nat. 9W4'fr4/1L
//V/Z f 6A'AcE
09592- .-o796
ADDRESS:
PARCEL
LEGAL:
NORTH (Road) E 6119CF
T
j o
a
79,
r
a 71
SOUTH (Road)
1. Draw in all existing buildings.
2. Draw in new bldg. & how many feet it is from existing bldgs. and property lines.
3. Name all roads next to property.
4. 114 in drain field and whether you are on a septic tank or sewage system.
5. Size of property.