1983, 10-04 Permit: 83A-9915 Storage Bldg PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY 9 'A -77 (5 .i
1 NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
G APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. i7:1 VJ I,..�;5J.2--- I((-2 r4 I -- 0 o 1
LOT BLOCK SUBDIVISION LEGAL DESCRIPTION: i
2. OWNER r� l-LiNi 11-11 PHONE PHONE �� o I g • 5
SIJ c v�I L.k-c,c= -, 72-(-� 2��
3•
MAILING ADDRESS ,Z p Actual Set Backs in Feet to:
Nj . [7,20-1 w i LLJ� 7-CCo North 'South IC[% [East I West 3
4• CONT C-?, �V ' � LICENSE EXPIRES o-5 -72 G Size of Parcel o cp ne • 5fi t o- Commercial 0
ADDRESS y /� /� ZIP- - ✓ Typpe'.�.1,C,/rprJn Occupancy Sprinklered
ILS i��-'!4✓LJ t-" -t V ��I ' ❑Yes ❑No ❑Req'd.
DESIGNE� PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area x
' :'67(:)C25• ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
1 C20 0 x
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement r -
h
No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 4EW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL 0 OTHER Certifi.of Exempt. Required Yes❑ No❑ Number
or Variance Received Yes No❑
8. DESCRIB WOR Shorelines/Flood Hazard Plans Required
o� 71- 0.6-1, (lid/Z) 0�) Yes❑ NotApplic.❑ Received ❑
VALUATION ��` SOURCEOIIIGAS LECTWATERPUBLIC/r SEWAGE/
Ownership y FEES COLLECTED
9. UTILITIES PRIVATE 0 SEWER❑ Public❑Private
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 9'. .9
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 0 APPLICATION
OWNER OR AGENT •4l' -- 7 ' '(1 DATE Mech. 4
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
4
PRELIM. FINAL DATE !� . I Plan Check
Env.Health ,111 `�I r(f fit'\� ��Z `^+L•f
/CHll SEPA
Planningt%-K 1, /j
«1�� ��G" - I VII 1 I' 7) Modular/
MFG.Home
Fire
Prevent. a
O
Engineer
Other(Specify) G3
W
) J_
Utilities �} LL
TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans icA THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building
4 /3 IN 180 DAYS l o U r, _ pp L 5 z * 9 �"
Tech. ' DATE ISSUEDPERMIT NO. 6, 0 0 $op-AL
i
•d/
hik-tia N
i .
( + v .. ..
. 1.-3rizi°1, \c\
.11------.2
..._.
11 1
i -c-
vr
1
r...__
7 .
c„ ,-
. ...e