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1984, 02-21 Permit: 84A-1392 Storage Bldg PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 84-Pk-1 i — NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES STREET ADDRESS PARCEL NO. 1. l 0 C \Ait )«-r -' .C- Ac, Z©51-4-404-3 LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: - 2.54. C. a LA N t U E". 3 r 7 y ---- 4..,-.c— OWNER ,1AGOWNER PHONE PHONE ' 3. t--`�i L.. «cZ�cs:.a G<'?1a-1O4] I MAILING ADDRESS ZIP Actual Set Backs in Feet to: . ‘ M kk.14L_1v L.�'T C North 4(a' 1South vS/ East S a I west -. 1 - .� a CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential❑ 4. ' -- -1Gsf.ti ''CcZv..e=zk c .:1. ( 2 7-05C,S S •1 ccj X 14,5C ` Commercial❑ ADDRESS ZIP Tar. rest. Occupancy Sprinklered • Cl\ G ‘C-C�v't lk5 Z GlCt2-\'2 Azi..v 04-1 ❑Yes ID No ❑Reg'd. DESIGNER PHONE AVAvConst.Valuation Remodeled Valuation Total Bldg.Floor Area ADDRESS ZIP Main Floor Uppe loors 'Garage/Storage Greenhouse CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement 6. ---- No.Baths No.FIQors No.Fin.Rooms No.Dwellings QN TYPE EW El ALT. 0 AD'N. 0 RPL. 0 MVE. S. 7. OF 0 OTHER WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.of Exempt. Required Yes❑ No u Nm or Variance Received Yes❑ No❑ / DESCRIBE WORK Shorelines/Flood Hazard Plans Required r 8. `to'z.P.(;e 1!:.•‘.t` , ..;)t` L>1 ati. C--� C.,-re Yes Not Applic.❑ Received [S VALUATION SOURCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED 9 LI PUBLIC❑ SEPTIC❑ Public❑Private UTILITIES PRIVATE❑ SEWER❑ l 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 e2..“2") 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 REVERSSIDE FOR REQUIRED INSPECTIONS Plumbing SIGNATURE OF APPLICATIQN OWNER OR AGENT A F'1� �----- DATE T -2` /` Mech. SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE) PRELIM. FINAL DATE Plan Check Env.Health ` ?C.DlG.1:\ i GG,C2:5 N SEPA Planning Modular/ MFG.Home >- ' Fire Prevent. 0 ca Engineer Other(Specify) w • J Utilities LL TOTAL $ 13) - , SEPA WHEN MACHINE VALIDATED IN THIS SPACE, Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT. Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED Building 1 IN 180 DAYS ((�� 1 11 n nn � Tech. y'' 121 DATE 135 D 2 1 — 8 4 PERMIT fJO5 9. 2 z * 8 1. 0 UTOTML nS r! � �C�Cl C�7S9�OJ] I / iivit1('2 1Q0$/