HomeMy WebLinkAbout1983, 08-29 Permit: 83A-8314 Storage BldgPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — DEPARTIVI-NT OF BUILDING & SAFETY
* NORTH 811 JEFFERSON / SPOKANE, WAIINATON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3
4.
5.
STREET ADDRESS
LOT
OWNER
6111LE.
BLOCK
Z
SUBDIVISION
PHONE
PHONE
PARCEL NO.
32743-- 4b44
LEGAL DESCRIPTION:
MAILING ADDRESS
lac^X .2CE)
ZIP
Actual Set Backs in Feet to:
North 'South Z.2sE ( East
IWest i
CONTRACTOR
tY\E
ADDRESS
LICENSE EXPIRES PHONE
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE - ►�iEW
7. OF J
WORK BLD.
ZIP
PHONE
ZIP
TO
❑ ALT. ❑ AD' N. ❑ RPL. MVE.
E PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Size of Parcel
Zone Classification
Residential1
Commercial ❑
Type Const.
Occupancy
Irti1—►
Sprinklered
:Yes No ❑ Req 'd.
New Const. Valuation
Remode ed Valuation
Total Bldg. Floor Area
ACyr,
Main Floor
Upper Floors
Garage/Storage
l Greenhouse
Cover Deck
Uncv. Deck
Fin. Basement
Unfin. Basement
No. Baths
No. Floors
Certifi. of Exempt.
or Variance
DESCRIBE WORK
8. �Et..-rx•,A.
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
�,x4s3�
WATER
PUBLIC ❑
PRIVATE C
SEWAGE
SEPTIC C
SEWER ❑
Shorelines/Flood Hazard
YesE Not Applic. ❑
Ownership
Public ❑ Private Q'
No. Fin. Rooms
No. Dwellings
Required Yes F. NoV
Received Yes❑ Noll
Plans Required— /
Received I(y
Num
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
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
SIGNATURE OF
OWNER OR AGENT e
APPLICATION
DATE Xft
SPECIAL APPROVALS
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
1i:G\.IEO }; W 0-• vt-(cc-;
�IC.�.7c5iV
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
SEPA
Modular/
MFG. Home
Other (Specify) 50 •C -C1
TOTAL $ '1C b&
PERMIT NUMBER
02* *4000
* S 0,006
A *0,00 8
831.32
08-24-83
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE9SSUED2
9-83
PERMIT`N1:;. �' 2
*9a°°gpTAL