1983, 09-14 Permit: 83A-9015 Storage BldgPLAN NUMBER
APPLICATION/PERMIT
• SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
STREET ADDRESS
. �- I I OTI 000 rj r� -Q -
2. `•3 1 sL -CSu ri
.."1 I��t�l
3 MAILING ACDRESS
- I rj tAl oc21:9}cJr .
4.
CONTRACTOR
N�
47Oo 3
LICENSE EXPIRES
PHONE
�jE ZIP
ADDr\" I - fi Ci G "� � "70'2.7
PHONE
DESIGNER
ADDRESS
CHANGE OF USE FROM
PARCEL NO.���
�z 5- - "
LEGAL DESCRIPTION:
Actual Set Backs in Feet to: �,`
North South •/' S_� East I West
Size of Parcel
Type Copst.;
Occupagcrvi l
ZIP
TO
TYPE 07EW ❑ ALT. ❑ AD' N. ❑ RPL. ❑ MVE.
7. OF El OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Z ne plassificalioa
Residential i/
Commercial O
Sprinklered
❑Yes CNo CReq'd.
New Cout. Valuation Remodeled Valuation
Main Floor Upper Floors I Garage�Sto agee
v'
Cover Deck
No. Baths
Certifi. of Exempt.
or Variance
Total Bldg. Floor Area
Uncv. Deck
No. Floors
DESCRIBE WORK
8.
9.
VALUATION SOURCE
UTILITIES
GAS
ELECTRIC t�
Fin. Basement
Greenhouse
No. Fin. Rooms
Required Yes No El
Received YesC No
Shorelines/Flood Hazard
Yes Not Apollo. 0
WATER
PUBLIC
PRIVATE C
SEWAGE
SEPTI
SEWER C
Ownership
Public E 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
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 RE E • - E SIDE FOR REOUIR INSPECTIONS
APPLICATION
l -'i DATE
SIGNATURE OF
OWNER OR AGENT
SPECIAL APPROVALS
PRELIM. FINAL
Env. Health
DATEf
/C/�
Planning
Fire
Prevent.
Engineer
Utilities
SEPA
Plans
Exam.
Building
Tech.
SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Unfin. Basement
No. Dwellings
Number
Plans Required C
Received 0
FEES COLLECTED
Building
Plumbing
Mech.
Plan Check
CODA
Modular/
MFG. Home
Other (Specify)
TOTAL
PERMIT NUMBER
A - '70
2* *68.00
w68006
*0.00
''O14
09-14-83
6t 7 9,
IL
0
LU
J
IJ-
WHEN
L
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
15z *683�al-
PERMIT NO. TOTAL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
I509) 924-1557
Lipb
.•
JOB
SHEET NO *S—All
• a 0.
Wood a Ft il?rel
99 2n4,
CALCULATED BY 001.(214ierg DATE
CHECKED BY DATE
SCALE
1,147: 3 q31,4 • a or Ife3A/gur,sm "1 Cr 5
x Tit Add;flioN /19,5-!, -pier p r TILER
:Ftc.,,,,thei F24.4,7:
PA? 93. - -
FARC E ,7Z-
32544z-10oz
$ ol
t.. 1 Ithi F1.170 Ai
I ;
191,94'
7,1 '
rt
- _ _
cm. mar. niam