1984, 01-20 Permit: 84A-600 Storage BldgPLANNUMUL-HI #%r- "L1%014 1 Iva;m/ 17Gnm1 1
SPOKANIE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STR ET ADDRESS PARCEL NO.
LOTBLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 7� _ A
OWNERP ONE PHONE
3. O I' UQ -v I-_ _..,__,._._�__.._.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
North South East l.�J West
CONT AC
LICENSE EXPIRES
PHONE
Size of Parcel
Z ne.Glassi '
on
Residential Wr
Commercial C
c-
4
No. Dwellings
TYPE NNE(IV El ALT. E] AD' N. El RPL. El MVE.
Lc
ADDRESS
ZIP
Type ns
Occupancy
Sprinklered
Certifi. of Exempt.
Required
Yes❑ No[]
Number
IVI
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
Plans Required
Received
VALUATION
SOURCE
OF
GAS
EL CTRIC
FPUBLIC.
5•
SE
SEPTIC
Upper
FEES COLLECTED
ADDRESS
ZIP
Mainr
Floors
GarageSto ef)
�tffVV
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TYPE NNE(IV El ALT. E] AD' N. El RPL. El MVE.
7• OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
Certifi. of Exempt.
Required
Yes❑ No[]
Number
or Variance
Received
Yes❑ No❑
DESCRIBEWORK
8. ✓ ` I (l
Shorelines/ Flood Hazard
Yes❑ Not Applic. ❑
Plans Required
Received
VALUATION
SOURCE
OF
GAS
EL CTRIC
FPUBLIC.
WATER /
SE
SEPTIC
Ownership
FEES COLLECTED
9
I UTILITIES
PRIVATE ❑
SEWER ❑
public ❑Private
1 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 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
Plumbing
SIGNATURE OF APPLICATION /� %� QZ
OWNER OR AGENT DATE 'J Z
Mach.
SPECIAL APP
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FI AL DATE
Env. Health
/
SEPA
Planning
Modular/
MFG. Home
Fi re
Prevent.
C-;-
Other (Specify)
Utilities
SEPA
PlansPERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building l = IN 180 DAYS
rrnmi 1 NUMCCr1
e4t - (eco
TOTAL $ I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DAT!61411El 0- S 4 PERMIT N6.0, 0 z
* 7 5.6 0 ROAL
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57'c RA
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MAX
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