1983, 05-16 Permit: 83A-4094 Storage BldgPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTMIZ JT OF BUILDING & SAFETY
NORTH 611 JEFFERSON / SPOKANE, WAr1INGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDR SS
� b
LOT BOCK SUB IVISI N
PARCEL NO. 0-245 4 — I3
2.
OWNER
3
MAILING
A IGOI0Op rE/Ss✓
I.I4
_1T
4. COxTRLAC0feet,
e IL
Z
ADDR
ID SIGNER
a
rN/`
5. ADDRESS
LEGAL DESCRIPTION:
PHONE
LICENSE EXPIRES
Actual Set Backs in Feet to:
North (South ,3 [East I weal 10
Size of Parcel
nee cliasslflcation Residential
r \�I
KV-- " Commercial 0
Type 74.
Occcupparpy
n/`
Sp inklered
OVes ONo DReq'd.
PHONE
ZIP
New Const. Va uation
57(0 0
Main Floor
Remodeled Valuation
Total Bldg. Floor Area
Upper Floors
Garage/Storage
720
Greenhouse
6.
CHANGE OF USE FROM
TO
Carer Deck
Uncv. Deck
Fin. Basement
Unfin Basement
TYPE [.YEW
7. OF
WORK r B/N LD.
W
O ALT. 0 AD' N. 0 RPL. 0 MVE.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
N0. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Calif'. of Exempt.
or Variance
Required VesO No0
Received VesO No0
Number
DESCRIBE
a. 710
VALUA'ION
9.
OR
Kv0✓LiXe, (-1-c-°)
ELECTRIC
OF
UTILITIES
GAS
Shorelines/Flood Haza d
YesD Not Applic. 0
Para Req !red 0
Received 0
SOURCE
WATER
PUBLIC 0
PRIVATE 0
SEPTICfT
SEWER O
Ownership
Public 0 Private
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 REVS SIDE F EGUIRED INSPECTIONS
SIGNATURE OF APPLICATION ��/,!
OWNER OR AGENT , J I%' DATE morel 0
SPECIAL APPROVALS SPECIAL CONDITION . (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
f tt 5;
3/40
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 $
PERMIT NUMBER
- +074-
02* *6800
*68006
A *000
408.8$
05-16-83
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE
PERMIT'N& 9. 4 z
*68.00 cid.
RULES: HOMEOWNER: 22ic'
Building must be 5' from property line
Building must be 10' from drain field
Building must be 25' from property line
if property line is next to a street
Building must be 10' from all existing bldgs.
CnL�,v
Qo D
P-(ror
ADDRESS: G� / 445?) S^ /27<;'n0 jj
PARCEL No.—2-C-410. — Z. 4/31
LEGAL: hr 2_4).4205(
-11(t\'(rni Oif t-1'�v5
"3fi'L r i J &- 1 c -i (to.
1. Draw in all existing buildings.
2. Draw in new building & how many feet it is from existing buildings and property lines.
3. Name all roads next to property.
4. Draw in drain field and whether you are on -a septic tank or sewage system.
TL.)