1983, 08-26 Permit: 83A-8277 Storage Bldg PLAN NUMBER APPLICATION/PERMIT PERMIT NUMB_ER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY - e-sA 6Z.77
CNORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. "'7 \ Z WA to s-k- 2-(QC- 1 - C`S o (.,
LOFT BfK SI.(BDIVISIO �f `Q ��� LEGAL DESCRIPTION:
2. OW�AFR ,� �PHONE PHONE
�b [V o t�t,I;Ii Cic t\ s'3 -7 Z 8
e-�. �C y
3. MAILING ADDRESS ZIP Actual Set Backs In Feet to:
t 71z 4> t. cukaa \Z North 'South f East (West /
CONTRACTOR LICENSE EXPIRES PHONE Size of Parcel Zone Classification Residential Cg-_
4. 0-7 yC ' 5 13 1 Commercial❑ .
ADDRESS ZIP Type Const. Occupancy Sprinklered `:
V� VW
q l ❑Yes ❑No ❑Req'd.
DESIGNER PHONE New Const.Valuation r"�Remodeled Valuation Total Bldg.Floor Area t. . C
5. I53fp Ictz 26- Q3
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse Q
I GrZ— —
. 6 7 C.
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
6.
TYPE Lv1( ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No.Baths No.Floors No.Fin.Rooms No.Dwellings
7. OF ❑ OTHER I
WORK LD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL Certifi.ofExempt. Required Yes❑ No❑ Number
or Variance Rete Yes No❑
8. DDESCRIBE WORK Shorelines/Flood Hazard Plans Required❑
�i,e\ e. -s_ T>LbG ( \2.A-‘ CC) Yes Not Applic. Received ❑
VALUATION SOURCE GAS ELECTRIC WATER SEWAG�E �'nership %V"' FEES COLLECTED
9 OF
UTILITIES PUBLIC 0 SEPTIC
PRIVATE 0 SEWER 0 Public❑Private
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on 2
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building J 2-
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to vio r can the provisions of any other state or local law regulating construction or the performance
of constrycflon. • RSE SIDE FOR REQUIRED INSPECTIONS Plumbing
SIGNAT ' qi,_"r. 7 APPLICATION
OWNER OR •GENT /- ie ''' �� DATE Mech.
SPECIAL APPRZVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE {(' Plan Check
Env.Health � t t � �-ty QJ e/V /�
����a ���,v7"tet ` T P t//1 L SEPA
Planning ST e„ SL- t Modular/
{{>� MFG.Home d
Fire Y
Prevent. p
V
Engineer Other(Specify) W
J
LL
`c/
Utilities S -
---
TOTAL $
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
Buildingri.` 1 IN 180 DAYS r� ; R 2 7 7 z it 3 2.0 0 a 1'
VDATE 14) l7 2 6 —8 3 PERMIT MO. TOTAL
0-11\
0
.ks DT-11/4.M
P1
Z.
1/21 I kip
1 5