1983, 04-22 Permit: 83A-3210 Storage BldgPLAN NUMBER - ' AYFrL Ik;AI IUN / PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
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PHONE
11 ZIP
rlllt , PERMIT NUMB R
ZZJJ - .3 I
/ a -z
ZIP
North
South
v East
West Z I
PH NE
Sizof Parcel
` -
+ 3
Zo Classification
le
Residential e
Commercial E
ZIP
Type Com
V N
CHANGE OF USE FROM
Docypancy
M (
Dyes
Sprinklered
❑No ❑Req'd.
PHONE
New Const. Val tion
19
Remodeled Valuation
T-0--_
Total Bldg. Floor Area
ADDRESS
ZIP
Main Floor Upper
Floors
Garage/Storage
Greenhouse
CHANGE OF USE FROM
ver
CoDeck
Uncv. Deck
Fin. Bas ment
Unfin. Basen
6.
T-0--_
No. Baths No.
Floors
No. Fin. Rooms
Tb. Dwellings
TYPE W ❑ ALT. ❑ AWN. 11 RPL. ❑ MVE.
7. OF ❑OTHER
WORK BLD. ❑ PLMB. ElMECH. ElM.H. ❑ POOL
Certifi. of Exempt.
Required
Yes❑ No❑
Number
or Variance
Received
Yes❑ No❑
D E S QR I 4E WO
8•
Q ,,`
�
Shorelines/ Flood Hazard
Plans
Required ❑
,
S C
Yes Not Applic. ❑
Received ❑
VALUATION
9.
I SOOUFCE
GAS
ELECTRI
PUB IC ElSEPT
SWATER EPTIC
Ownership
ZI
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
Building
work will be compiled 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 RF.VtWE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATION 44
OWNER OR AGENT DATE
Mech.
SPECIAL APPROVALS
SPE IAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Plan Check
Env. Health
SEPA
Planning
Modular/
Fire MFG. Home
Prevent.
Engineer Other (Specify)
tL
Utilities
TOTAL $
SEPA
MACHINE VALIDAi
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS_
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DATELtEDZ —
PERMIT;12 10 z * 4 0, 0 D 7O TAL
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