1984, 04-11 Permit: 84A-3213 Barn'PLAN NUMBER
APPLICATION/PERMIT o
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
STREETADDRESS PARCEL NO.
1. 26 ONfIZA 1 32544 -1114
Lo BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 14 1 onA106A 69KV-G
PERMIT NUMBER
A-3�23
3. t L– .
MAILING ADDRESS
ZIP
Actual Set Backs In Feet to: )
North South Cj East West
CO 7R TOR
LICENSE EXPIRES
PHO
Size Sizee
of Parcel -. I
Zone lassificatlonq
�Jy.
Rggidentlal
0'� * # 44 00
4
K7 �W�' 1
(4 ( '�iZ
Commercial❑
ADDRESS
�
Z,I,yF
Type n t.
Occupancy
Sprinklered
OYes L1 No ❑Req'd.
c
* 4,008
Q f
i DESIGNER
PHONE
New Const. Valuation
I Remodeled Valuation
Total Bldg. Floor Area
AVP 13SI IVP
3
5.
321.22
ADDRESS -
ZIP
Main Floor Upper Floors
e
Garage/Storage f
Greenhouse
04=11-84
CHANGE OF USE FROM
TO
Cover Dack Uncv. Deck Fin. Basement
Unfin. Basement
2 6479.
s.
TYPE X NEW El ALT. ❑ AD'N. El RPL. C] MVE.
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
% OTHER
Certifi. of Exempt.
Required yes 11 No❑
Number
WORK KBLD. 0 PLMB. 11MECH. ElM.H. ElPOOL
or Varianoe
Received Yes NOD
_
$ DESCRIBE WORK �� t I
Shorelines/Flood Hazard
Plans Required 0
Yes❑ Not Applic.0
Received D
VALUATION I
SOUP OFCE
GAS
ELECTRIC
PUBLTC
SEWAGE
Ownership
FEES COLLECTED
9•
UTILITIES
PRIVATE 0
SEWED
Public 0 Private ❑
cj O�
f✓`
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 of laws and ordinances this type of
provisions governing
Building 1 r
ding
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 R VERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
SIGNATUREOF —,, rAPPLICATION
/ jC V 3 / V 21 DATE I - V 7
Mach.
OWNER OR AGENT
SPECIAL
APPROVALS
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM.
FINAL
DATE
Plan Check
Env. Health
jj- A ^ ��r�
LIC. '-1��1t r't Cr I -7W S
I�r
17
lT
SEPA
Planning
Modular/
MFG. Home
Fire
Prevent.
d
O
Engineer
Other (Specify)
t7
W
J_
Utilities
W
TOTAL $ r
SEPA
THIS SPACE,
MACHINE IN
Plane
PERMIT IS NONTRANSFERABLE
HEIS BECOMES A PERM TTED
fin''
F
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
IN 180 DAYS
((�� ^^ '1I
�7 1
a
tech.
t
DATEUS3UEDLi 1 ' X14• PERMIT
,8 ,
d TPT�AL
)1§.13 .z '* 5' 4. p p' a y,