1983, 07-12 Permit: 83A-6399 Storage BldgPLAN NUMBER APPLICATION /PERMIT
SPOKANE COUNTY - DEPARTMRNT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREELODDRESS�� PARCEL NO. 2 __3 A_;2_ 0:2—
LOT BLOCK SU DIVISIO LEGAL DESCRIPTION:
2. z -2- 1.0 A -019r,
.'3.
5-;> izo
PHONE
ZIP Actual Set Backs in Feet to:
North Zr5 I South East , S West
LICENSE EXPIRES P ONE izsmei I0- 4>Zo�eCl ificat' n
SPECIAL APPR6VALS SPECIAL CONDITIONS: (SEE REVERSE IDE FOR NOTICE)
PRELIM. FINAL DATEgi
Env. Health
Planninge< /7/ -3 5 Or( 0 /,�
Prevent.
Engineer
Utilities
St1'A I
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I I I A N `V I IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
PERMIT NUMBERlot
TOTAL $ O. I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'12 -8 639192
DATE ISSUED PERMIT NO.
*68.00°
TOTAL
/// "`
Z4.
A D
'L
ZIP O�
. Oct
panty
Sprinkiered
❑Yes ❑No ❑Req'd.
DESIGNER
PHONE
Valu ion
Remodeled ValuationTotal
Bldg. Floor Area
5.ADDRESS
ZIP
Upper
rn
Floors
Garage/St rage
Greenhouse
CHANGE OF USE FROM
TO
Uncv. Deck
Fin. Basement
Unfin. Basement
TYPE ALT. ❑ ❑ RPL. ❑ MVE.
No.
Floors
No. Fin. Rooms
No. Dwellings
7
*9"NEW❑ AD'N.
❑OTHEROF
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
xempt.
Required
Yes N
Number
Received
Yes❑ N
8•
DESCRIBE W RK
Shorelines/ Flood Hazard
Plans Required ❑
yes 11 Not Applic. ❑
Received ❑
VALUATION
SOURCE
GAS
ELECTRIC
WATER
PUBLIC.
EWAGE
SEPTIC ❑
Ownership /
FEES COLLECTED
9
LI
UTILITIES
PRIVATE ❑
SEWER
Public ❑ Private f7
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-
Building
thority to violate or cancel the provisions of any other state or local law regulating construction or the performance
of construction. SEE REV SE ME FOR REOUIRED INSPECTIONS
Plumbing
SIGNATURE OF APPLICATIONQ'
OFR OR AGENT _ DATE ZZ_ fs)e—j
Mach.
SPECIAL APPR6VALS SPECIAL CONDITIONS: (SEE REVERSE IDE FOR NOTICE)
PRELIM. FINAL DATEgi
Env. Health
Planninge< /7/ -3 5 Or( 0 /,�
Prevent.
Engineer
Utilities
St1'A I
Plans PERMIT IS NONTRANSFERABLE
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building I I I A N `V I IN 180 DAYS
Plan Check
SEPA
Modular/
MFG.Home
Other (Specify)
PERMIT NUMBERlot
TOTAL $ O. I
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'12 -8 639192
DATE ISSUED PERMIT NO.
*68.00°
TOTAL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
(509) 924-1557
JOB
SHEET NO. OF
CALCULATED BYDATE
CHECKED BY DATE r
30
- // ='; w 55 PO
FORM 204 Available from 'DELIS INC T...S..d, Maas 01470