1983, 04-08 Permit: 83A-2729 Barn PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
L // SPOKANE COUNTY — DEPAF TMFNT OF BUILDING & SAFETYfr 53.3 _�7Z
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
cr
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS
1• PARCEL NO.
':4707 �Ic�tapziA,r
LOT I BLOCK f SUBDIVISION O IOC=,•` — �t z
2. 4. -�_ LEGAL DESCRIPTION:
OWNER I to,�ccs!2-Ctfa. � 1,4zEa l)
ll
IPHONE PHONE
3. ALAN Cr�.c ;4. G3.e--7.Zog * i'
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
. 4-107 !/1 coo:2.. .5 P North 4(p: 'South" �j'_j
CONTRACTOR � East �W I West
.j LICENSE EXPIRES PHONE Size of Parcel _
Cl�Urc��� TE ��X�i� Qi�3C,` Zone Classification Residential V
4. -
ADDRESS -S�'-"q �ZG X� C) Commercial❑ �
ZIP Type Const. [Occupancy C LI
t.I, 6.3' 'j L .Wit) 'TFt w P Y SprinkleredINo
IA ❑Yes ❑No DR
eq`' ''-PHONE� ^`�� I_ NA-� 1 eq'd.
New Const.Valuation I Remodeled Valuation I Total Bldg.Floor Area
l
5. ADDRESS r7,G t.1- t
ZIP Main Floor I Upper FloorsI Garage/Storage I Greenhouse
CHANGE OF USE FROM TO IS --
6. I Cover Deck I Uncv.Deck I Fin.Basement I Unf in.Basement
TYPE EW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. No.Baths No.Floors No.Fin.Rooms No.Dwellings
7. OF ❑ OTHER I I j
WORK
or BLD. ❑ PLMB. ElMECH. ❑ M.H. ❑ POOL
Vi . Exempt. Required Yes❑ No CJ Number
or Variance Received Yes❑ No❑
DESCRIBE WORK /
8 i4 NI Shorelines/Flood Hazard Plans Required*I
vJ Iv (—��1 ( .2' k.4-0 YesE Not Applic.0 Received fe
9 VALUATIO1UTILITIES
SOURCE I GAS I ELECTRIC I PUWAER BLIC 0 SEWAG Ownership
wnership
I FEES COLLECTED
OPRIVATE D SEWER n Public 0 Private
I hereby certify thlt 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 Building --1, -,00
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 '
APPL
CATION �
OWNER OR AGENT �.t"- -,---r, DATE
�° Mech.
SPECIAL APPROVALS, SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
Kali Li-
Planning SEPA
Modular/
MFG.Home
Fire
Prevent.
Engineer d
Otherc
(Specify) c.)
Utilities
Lu
J
SEPA jS LL
TOTAL $
Plans 'P1 A�,., t.,u roo_s; PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Exam. THIS BECOMES A PERMIT.
Building PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Tech.
IN 180 DAYS
2� 7/ QQ 8
)) '77
DATEQS9UE� PERMIT4.1 2, 9 z *7 5� Q 0 ;0i-IAL
, ,
11111111.11. 1 , .
I t2O € STETi STEEL 6j-
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Post Falls, Idaho (208) 773-5809
Spokane,WA (509)455-5139
Name ILAN CURTIS
Address SOUTH 4707 ,V0,0DRJFF
•
City SPOKANE State ,.ASH.
County SPOKANE Zip
/00
Telephone 728- 7208
i
COOKS 'TEEL PUILDINGS INC.
Representative
LEGAL;
PARCEL # 05441- 0104
PONDEROSA ACRES, LT . 4, PLK. 1 w
est I I
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390,
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- E-ROL Exi64,1,U N4ows30'
40'
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