1982, 10-05 Permit: 82A-9112 Storage ShedPLAN NUMBER
1
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1.
2.
3.
4.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
E . 0/v� .
LOT BLOCK SUBDIVISION
S'�11
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
� ,Atz.y -7wv ..rte
ADDRESS
CONTRACTOR
PHONE
ami-33�
PARCEL NUMBER/S E\�.2E 1�'[ £.sioc
L..0 : 3t 8.e Au—
Z.4.5
u
Z.4.5 --Z ..St -I
PHONE
Actual Set Backs in Feet
North
Size of Parcel
'South pc� East -5
ADDRESS
d (A -Y1 -
DESIGNER
5.
ADDRESS
ZIP
Type Const.
T1
Occupancy
(v.
(West
Zone Classification
R6-. Mo",,t-C lloalc
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valva ion
Eao
Building Area in Sq. Ft.
-Z C.74 -
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW ❑ ALT.
e/BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
t.
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. '-ro2%-40
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
IiAi'S(r-
ELECTRIC WATER
Enum. Dist, I Location (Area)
SEWER
Ownership
Public ❑ Private (i
USE CODE
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 authority 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
DATE OF APPLICATION' O ,. 1 1] SIGNATURE OF APPLICANT"'
SPECIAL APPROVALS
NAME DATE
‘cEn/vj�../4/eallth
4."4,61--e,/ /
anning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
Fciekti
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building # 4=5C"
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$?-G�
PERMIl'NUMBL1..
g,'zA - Q1lZ
G2* *2000
*20.006
A *0,00
897.2
1 CP -014-82
8.47'9.
a•:
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'0.-05-82
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
911.22 *20.0000-1 -
TOTAL
PERMIT NO.