1983, 08-22 Permit: 83A-7998 Storage BldgPLAN NUMBER APPL LCAT ION /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
STREETADDR�ss p PARCEL NO.
1. N I„
2 I0 I1,pcK s vlsigN 111_11C)� LEGAL DESCRIPTION:
OWNER] �N N �� ON PHONE
3. MAI ING DRESS Z Actual Set Backs in Feet to:
North South East West
CONT C Q
�
LICENSE EXPIRES
PHONE
Size
r I Zon
X Ol'
Class�fl do
�
Residential Rf
Commercial ❑
4.
-
ADDRESS
ZIP
TypeQonat. Occ
y
'vr
Dyes �r❑Nor� ❑Req'd.
DESIGNER
PHONE
New Const. Valuation
Remodeled Valuation
Total Bldg. Floor Area
5.
ADDRESS
ZIP
MalnFloor Upper
Floors
Gara
a/Storage
o�
Greenhouse
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
6.
No. Baths No.
Floors
No. Fin. Rooms
No. Dwellings
TOF YPE 11 NEW 11 ALT. 11 AWN. 11 RPL.
11 MVE.
7.
❑OTHER
WORK ❑ BLD. ❑ PLMB. ❑ MECH. El M.H.
❑ POOL
Certifi.ofExempt.
Required
Yes No❑
Number
or Variance
Received
Yes❑ No❑
DESCiRI WO K g,
8•
Shorelines/ Flood Hazard
Plans Required ❑
�/�
Yes❑ Not Applic. ❑
Received ❑
VALUATION
SOOFCE
GAS
ELECTRIC
'I
"WATEPUBLICR
SEWA
SEPT CG
Ownership
1
FEES COLLECTED
9•
UTILITIES
PRIVATE ❑
SEWER ❑
Public ❑ Private
1 hereby certify that I have read and examined this application
and have read the "NOTICE"
provi§ions included on
reverse side, and know the same to be true and correct.
All provisions of laws and ordinances governing this type of
in or
work will be complied with whether specifiZQ.
t. The granting of a permit does not presume to give au-
Building
thority to violate or cancel the provisions oh
tate or al law regulating construction or the performance
of construction. SE SE DE FOR D I N$jk1I5CTIONS
Plumbing
SIGNATUREOF
APPLICATION /�
OWNER OR AG
DATE _L_
Mach.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health �n
Planning 1
Engineer
Utilities
SEPA
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
BuildTech ung _ � IN 180 DAYS
Plan Check
SEPA
Modular/
MFG. Home
PERMIT NUMBER
Other (specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
o a %% z '7
DATE�SSUED` 2 — / PERMIT N O.
z
*26,00°1 -
TOTAL
C
C
C
L
L
174
71
S --o
7-7-1
it
i0 TX i
41
Al AV 'el_,M,�Alpoo
9,1 Vee.,
ein .7 -
Y-!7/-
I-t
Jill