1984, 02-16 Permit: 84A-1326 Hay Shed PLAN NUMBER APPLICA *ION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING &S• AFETY iJ — l,t(
NORTH 811 JEFFERSON /SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PARCEL NO.
1. i 7818 V . w T� GrLE.V. e'a 19 SS Z - 90'w
Lor BLOCK SUBDIVISION LEGAL DESCRIPTION:
2. OWNER PHONE PHONE EIZOFSE /4w4
BLOE 4OF
3. Al NOI/D 11 Eye _1 Z6 -USO 'v J '/4
MAILING ADDRESS ZIP Actual Set Backs in Feet to:
S5-Pc I 'V
North 00 I [South East 4 t$ t I West
CONTRACTOR ^vin LICENSE EXPIRES PHONE Size of ParcelCl
�t I Zone assification Residential
l>4:
•
SiA 1 ' 00 � D pc•-•'t0`-It Commercia ❑
ADDRESS ZIP Ty C.o1nst. Occupancy Sprinklered
V I�1 M — i ❑Yes ❑No ❑Req'd.
DESIGNER PHONE _ Const.Valuation Remodeled Valuation Total Bldg.Floor Area L ' / i) C'
5. ADDRESS ZIP 'n`lo 000. Q�
Floor Upper Floors Garage/Storage Greenhouse ..
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
No.Baths No.Floors No.Fin.Rooms No.Dwellings a I .
TYPE
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. _ ..- 1
7. OF ❑ OTHER
WORK p9.BLD. ❑ PLM B. ElMECH. ElM.H. ElPOOL Certifi.of Exempt. Required Yes❑ No Number
or Variance Received Yes No❑
DESCRIBE WORK i� 24 I Shorelines/Flood Hazard Plans Required 0
8.
r'i<S 1 7,01 J�o ( Yes❑ Not Applic.❑ Received ❑
94VALUATION SOURCE GAS ELECTRIC WATEERR SEWAGEp
;2.20, Q� UTILITIES PRIVATE❑ SEWER O Public❑IPrivate� FEES COLLECTED
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included on 0
reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this type of Com,,
Building �f 7,
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 Plumbing
SIGNATURE OF APPLICATION
OWNER OR AGENT r 0 fa__ . IL .A. 1---. DATE a../is/
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (SE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
-Env.Health 1 „ j
ifSEPA
Planning
Modular/
MFG.Home
Fire Q
Prevent.
O
Engineer
WA A p<i �(7 P Other(Specify) v
y W
J
Utilities �{ .� ` LL
' TOTAL $
SEPA /T�
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
Tech mg I N 180 DAYS i,' .r 8 d o
02 -16 -0I 13262 * 47, 00 AL
I(,a DATE ISSUED PERMIT N
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