1983, 07-22 Permit 685 Storage Shed-Void2.t-2=3
MrrL•94,,4A i I Jr1/ rLKMI I
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
STREET ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1. (c'd.1 MAC
LOT BLOCK SUBDIVISION
i ?�csz. Atot)
OWNER
3 `T"r . - �r Gz • C. ,2�.= J
MAILING ADDRESS
E- • Cam ‘-.4 N� ► .. C4
CONTRACTOR
4 St44% _
ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
TO
PHONE
LICENSE EXPIRES
PHONE
53`. --154-1(,,
ZIP
aq
PHONE
ZIP
PHONE
ZIP
PARCEL NO.
1353l— 14-01 -14cj —14-e
LEGAL DESCRIPTION:
Actual Set Backs i i Feet to:
North 20 South
Size of - rcel
t O.3 It t'zio
Type Const. Occupancy
V`
New Const. Valuation
47.2
Main Floor
Cover Deck
Eas
West
Zone Classification Residential 0
M�AlH iKi>1�,ad�l6.4 Commercial
SprriRr�klered
ID Yes 14No ❑Req'd.
Remodeled Valuation
Upper Floors
Uncv. Deck
Garage/Storage
Fin. Basement
No. Fin. Rooms
TYPE I'I'NEW
7. OF BRED.
WORK
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑ OTHER
ESCRIBE WORK
8. _ Tc 2 Ac . i-k—e
VALUATION
9. 0 0 0
SOURCE
UTILITIES
Lui-nee2_ 0N1....y
K 8o
GAS
ELECTRIC
PUBLICR�1
PRIVATE 0
No. Baths
No. Floors
Total Bldg. Floor Area
ezizerr Iqf 2O
Greenhouse
Unfin. Basement
No. Dwellings
Certifi. of Exempt.
or Variance
Required
Received
Yes 0
Yes ❑
No ❑
No ❑
Number
SEWAGE .
SEPTIC II
SEWER ❑
Shorelines/Flood Hazard
Yes Not Applic. Y�
Ownership
Public ❑ Private I/
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions inc(u n
reverse side, and know the same to be true and correct. All provisions of laws and ordlnances governing tVts 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,4erformance
of construction. SEE REVERSE SIDE FOF3 REQUIRED INSPECTIONS
SIGNATURE OF
OWNER OR AGENT
APPLICAT10197.4
DATE
SPECIAL APPROVALS SPECIAL CONDITIONS: (SEE REVERSE SIDE FOR NOTICE:
PRELIM. FINAL DATE
15,2o X ,%_ $i ,57
# /N•, 59 X 19zo 'z Sioiz . 5•o
Env. Health tvd
Planning
lff
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans
Required ICJ ,
Received
FEES COLLECTED
Building
Plumbing
Mech.
34 —
Plan Check y—
SEPA
Modular/
MFG. Home
Other (Specify)
TOTAL
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISS0ED 2 2 - 8 3
PERMIT `5. O z - tk 3 9, o o fbtAL