1983, 05-10 Permit: 83A-3877 Shed PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &SAFETY E34 -387/
fill NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675 !
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. . 1320 t?woizxIA 'x.\54`- -r3 tc-}
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. 'i .. , G IiktZi. e,o-) At- r" .
OWNER PHONE PHONE
3. ss•Nv 'T'R`/Lo CA24' 32.-.
MAILING ADDRESS ZIP Actual Set Beeps in Feet to: t
. 1- "Xi:). ak:.•Pwper;l-ic CIC( .-406 North Z7 'South East Iwest 4S
CONTRACTOR LICENSE EXPIRES PHONE Size SS K.
Zone Classification Residential 2/ -
5 AvvM E L` K 1 1 Commercial 0
4. Td ADDRESS ZIP Type Conet. Occupancy Sprinklered❑ ❑R d.
xl" '-a."1 m-' ❑Yes I eQ
DESIGNER PHONE few Const.Valuation Remodeled Valuation Total Bldg.Floor Area f'
5 gr tit 2..0 ?eo : &-
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6. -
t�// No.Baths No.Floors No.Fin.Rooms No.Dwellings
7 TYPE O EW 0 ALT. 0 AD`N. 0 RPL. 0 MVE. ❑ OTHER
OF '=' t / t t
WORK QLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.ofExempt. Required Yes❑ Nof� Number
or Variance Received Yes❑ No❑
i
DESCRIBE WORK Shorelines/Flood Hazard Plans Required 0
8• 3 c cz ntcx �i4.t.?;a L..- I GR~���-1 ty��)��v Yes❑ Not Applic.0 Received ❑
VALUATION SOURCE GAS / ELECTRIC WATER / SEWAGE Ownership FEES COLLECTED
9. LI PUBLIC fu8' SEPTIC LL�7 Public❑Private$
UTILITIES PRIVATE❑ SEWER❑
i
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 provisions of laws and ordinances governing this type of Building k.4-•�
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
OWNER OR AGENT DATE Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
Plan Check
PRELIM. FINAL DATE
Env.Health _ 23
(1kYti 5 ii SEPA
Planning Modular!
MFG.Home
FireC.
Prevent. t
O ,
Other(Specify) v
Engineer U,l ,
J_
Utilities N-
TOTAL $
SEPA
MACHINE
Plans PERMIT IS NONTRANSFERABLE HEIS BECOMES A PERM TTED IN THIS SPACE,
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildingDATE
IN 180 DAYS QQ 7 z * o
Tech. ED1 O -8 3 PERMIT O'. 1, / 2 4 0 0 tc,
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