1983, 11-18 Permit: 83B-1830 Storage Bldg PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY ,'3 — i 8'30
NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. E- r1 ZO6 'I-IV Ali • 2_0552_— 0:2-44
LOT I BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. I .Z. (CJ PsPP .-II) G-� ACRr%S F z.OF 4.-r 3.DL�=
OWNER PHONE PHONE `
3. c, r2-r(s S- U RG I!i '12-4—3575
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
E-19 2.O6 q-Mt AVE North 150 (south 461 East 30 I west 6
CONTRACTOR LICENSE EXPIRS. PHONE Size of Parcel Zone Classification Residential C4/..
C 1.. 8 rrHE S c.E,--?-C,.` 9.2'4– /551 /64' )ç( (1 AtylzfGktc.-- . Commercial El4. ADDRESS q ZIP Type const. Occupancy Sprinklered
R..[• 2- BO< Cl 53 B. OLS da 'iikWP 1a227 V N }/ ❑Yes OW ❑Req'd.
DESIGNER PHONE New Const.Valuation I Remodeled Valuation Total Bldg.Floor Area
5. 03ozfl-p° — 5054
ADDRESS ZIP Main Floor Upper Floors Garage/Storage a/Storage Greenhouse
-- 5O4- —
6.
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unf in.Basement
,
, �No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE NEW ❑ ALT. 14 'N. ❑ RPL. ❑ MVE. --
7. OF ❑ OTHER
WORK -LD. ❑ PLMB. ❑ MECH. ❑ M.H. 10 POOL Certifi.of Exempt. Required Yes❑ No❑ Number
t or Variance Received Yes❑ No❑
8. DESCRIBE WORK <(�')C za 4 ' ^ Shorelines/Flood Hazard Plans Required❑
S'7"0 1-14 t3U I LD I NcR Yes❑ Not Applic.❑ Received ❑
VALUATION URCE GAS ELECTRIC WATER SEWAGE Ownership FEES COLLECTED
9 PUBLIC❑ SEPTIC❑
PRIVATE 0 SEWER DI Public❑Private 0
UTILILITIES
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on oa
reverse side,and know the same to be true and correct. All provisions of laws and ordinances governing this type of Building
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 REV` 'S-S DE FOR REQUIRED INSP _TIONS Plumbing
SIGNATURE OF - , ' APPLICATION
OWNER OR AGENT—L-11j •.• • , - ,--e" _ DATE // 77 )----3 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE)
S`wPlan Check
_ PRELIM. FINAL DATE 10.4...), 'U7
Env.Health {/p( 1 ti
1113 SEPA
Planning
Modular/
MFG.Home
Fire a-
Prevent. p 5
Engineer Other(Specify) vW
J_
Utilities �7 .aI "`
SEPA TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
Plans PERMIT IS NONTRANSFERABLE THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYSp 1
Tech. DATE 4Sl1E9 1 6 —U ) PERMIT N'O B 3'0 z * a TOTAL
L.vvn Utcv I rlLr\J �.VIV 1 KNI. I IIVh _- - /
Route 2 Box 853 B ` " -T' "
S.,ier,-Tse' L"` .-- � J 1--'-- -- -- op
OTIS ORCHARDS, WA 99027 \
(509)
(509) 924-1557 tcvrnTrt nv_L..__/l�J(�-- __7 f/_ 11,,,e
CHECKED BY _._.____- __. ._ ____._ DATE
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