1982, 12-07 Permit: 82B-1682 Storage ShedPLAN NUMB,E
APPLICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT 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" • ICO7oe7 j P�
su� +sJ
LOT2.I
OWN
3�/- A ' 'rSn jc\ y -1J
MAILG ADDRESS
L°ff
4.CG'TA4 /SV
7l -✓2 -
ADDRESS
- 1595c
FAA
E IGNER
BLOCK
D
5. ADDRESS
AF"1� 1
PHON
a.� 5z7a
PHONE
PARCEL NO. oI 54-1 - j 2ao
LEGAL DESCRIPTION:
LICENSE EXPIRES
ZIP
PH NE
Actual Set Backs in Feet to:
Nath 7 Zi ISouth
IEa,t
jO
West
ZIP
PHONE
Size o(Pgroel
Type IICo''GG, /.//•. I `c / ccs
ZIP
New Const. Valuation Remod
41
2O
Main Iw
gZant _Classification
SIPKiLb 1 V/
pr n
❑Yes
Residential
Commercla 0
le ed
c ❑Req'd.
sled Valuation
Total Bldg Floor Area
Upper Floors
Garage/Storage
." Cv
Greenhouse
CHANGE OF USE FROM
6.
TYPE Ci/NEW
7. OF BLD.
WORK
8.
DESCRIB4 WgiiK
VALUATION
9.
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
0 ALT. 0 AD' N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
��ORAc1r v1'f J -i X1'4
SOURCE ELECTRIC OF PUB ER
IE 0
UTILITIES PRIVATE 0
0 OTHER
N0. Beats
No. Floors
No. Fin. Rooms
No Dwellings
Carlin. of Exempt.
or Variance 1
Required Yes❑ No
Received Yes❑ No❑
Number
Shorelines/Flood Hazard
Yes❑ Not Applic. 0
Rare Required 0
Received 0
SEWAGE/
SEPTIC
SEWER 0
Ownership
Publl6 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 REVERSE SIDE FO REQUIRED INSPECTIONS
SIGNATURE OF' �` �� �' DATE
SPECIAL
c
OWNER ORAGENT // wt�
SPECIAL APPROVALS SPECIAL CO TIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
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)
47
TOTAL $ 4-1
PERiv)-IIT NUP IBER
SZ$-lb82-
02* *47.00
*47,006
A *0.00 0
168.12
12=07-82
2 6479.
Ca-
Li -
WHEN
LL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATI&UE67' •8'2'
PERMI1lM.8.25 *'47.00 ROA"