1983, 05-16 Permit: 83A-4106 Storage BldgPLAN NUMBER APPLIICATION /PERMIT
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES —PRESS HARD TO MAKE 3 COPIES
STREETADDRESS PARCEL NO.
LOT BLOCK I SUBDIVISION LEGAL DESCRIPTION:
2. --,7� c7Aj .
OWNER I� � OJ��., � � PHONE
3. �L,uV1
Y''•V ^t
r/Cs'�
y
North South
East West
CONT CTQFy
L�LICENSE
EXPIRESSizegf
Paroel ���
Z ne Classitication
Commercial ❑
Residenti4.
5
f r
AD RESS o
+
ME
TypeCo¢�t.l
`Coonst.
Occu r
❑Yes Spr❑Nor� ❑Req'd.
IGNER
New Valuation
5-7�ADDRESS
Remodeled Valuation
Total Bldg. Floor Area
5.
Main Floor
Upper Floors
Gar`! g Storage
Greenhouse
CHANGE OF USE FROMTO Cover Deck Uncv. Deck Fin. Basement Unfin. Basement
6.
TYPE No. Baths No. Floors No. Fin. Rooms No. Dwellings
7. OF .�Z
W ❑ALT. ❑ AD'N. ❑RPL. ❑ MVE. ❑ OTHER
WORK D. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL Certifi. of Exempt. Required Yes❑ No❑ Number
or Variance —7 Received Yes El No❑
DESCRIB WORK `�� { . I Shorelines/ Flood Hazard Plans Requir
8. Yes❑ Not Applic. ❑ Received ❑
VALUATION SOORCE GAS ELECTRIC PUBLICR SE TIC E Ownership r
FEES COLLECTED
9• 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 SDE FOR REQUIRED INSPECTIONS
SIGNATURE OF Gtr APPLICATION �. V
OWNER OR AGENT DATE
SPECIAL APPR ALS SPECIAL CONDITIONS- (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATEl
ce-rC ,Li
Env. Health
Planning
Utilities
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building/ IN 180 DAYS
Tech. „y4
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
PERMIT NUMBER
&3 - 40 4104
11 DATEISSUEDl 6- 8 3 PERMITIJ.. O' 6 z * 6 8' 0 0` -j
O
C
C
U
U
�1,
1
M?
-7-
1
GA 1,A �
1
l%iv,'cJ_ ,� Ly{iPA 6- 3 X J("X& 4,737 LIOI )
hX% � i.'."fS C.++1 .-'. f, Cc•JZ '�S/ .�`ii�.rJ� a..l 2 r:` f'Ln: YiV, S'C-cL O•J !icor
(/J /Z 1(�',6 SLii�"�/ c%K� /�n c v/ D:� e J019'v4ci!J
TNFGA.i% �.+N • �