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1984, 04-16 Permit 84A-3397 Steel Bldg[PLAN NUMBER APPLICATION/PERMIT SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES STREET ADDRESS 1. . 11(004 c ,M,t9L e LO 1 ( BLOCK 2. 2 3. 4. OWNER SUBDIVISION zip Moe Wbf" . e. 14 ego frbA n-so MAILING ADDRESS e CONS TRA�TQ12.4_ 9 ADDRESS ()� ` ,� ^ s. 1-f Z 1- I 1 O)'Plt.("A PHONE LICENSE EXPIRES PHONE ZIP zlpig26(.o PARCEL NO. Q °I P4 I _ Zfog LEGAL DESCRIPTION: Actual Set Backs in Feet to: North 30 t [south size o-'cel IS7z, Typ forot. Occupancy( 1 Zone Classification I I (9 East � West Residential?S. Commerciai ❑ Spr'nklered ❑Yes ❑No ❑Req'd. 5. DESIGNER PHONE Ngw Const. Valuation Remodeled Valuation Total Bldg. Floor Area ADDRESS ZIP Main Floor CHANGE OF USE FROM 6. TO Cover Deck • Upper Floors Garage! pirpge Greenhouse Uncv. Deck Fin. Basement Unfin. Basement TYPE NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. 7. OF WORK KBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL 0 OTHER No. Baths No. Floors No. Fin. Rooms No. Dwellings Certifi. of Exempt. or Variance Required Received Yes❑ No❑ Yes❑ No❑ Number 8. 9. DESCRIBE WORK VALUATION SOURCE OF UTILITIES )<24 5f151.,PC:01,1 1,14011( GAS ELECTRIC WATERSEWAGE. PUBLIC STII�PRIVATE 0 SEWE Shorelines/Flood Hazard Yes❑ Not Applic. 0 Ownership Public 0 Private 0 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- thority tc, violate or cancel the pro ' ions of - . state or Iogulating construction or ie peasformance of construction. SEE REVE FOR SIGNATURE OWNER OR AGEI9 SPECIAL APPRO ' LS SPECIAL CONDITIONS: (SEE PRELIM. NAL DATE Env. Health Planning Fire Prevent. Engineer Utilities SEPA Plans Exam. Building Tech. p5w .. 4/r0 APPLICATION DATE ELSE SIDE FOR NOTIC PERMIT IS NONTRANSFERABLE PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED IN 180 DAYS Plans Required 0 Received 0 FEES COLLECTED Building Plumbing Mech. Plan Check SEPA Modular( MFG. Home ,r OG Other (Specify) TOTAL $ PERMIT NUMBER 02* *61,00 *61.006 A *000 39.4f 04-.16-84 ,4 6479 WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. DATEa96UEIj6 - 8 4 PERMIT5N0.9 7 5 *61.00aOAL C. 0 C.1 W —J fJ. BUILDING PERMIT APPLIGATWN WORKSHEET PLEASE PRINT AND COMPLETE ONLY THOSE PARTS OF THE FORM YOU UNDERSTAND (Please return this original and your building plans to the Department of (Building and Safety) 1 Owner's Name (last) ,% le.S e 2 Project Address (not Mailing Address) or Road Name E i/&cJ C/VZL(SLE 4 Assessor Parcel No. 0951. —al oB i 5 Sic Code Zone Act. k 6 Dwell t/ 7 Set Bach -Front 16 Architect Firm Name ALPPFI'9 STEEL Zip c cj ZCIv Contractor Firm Name hrq Contact Person Stale No. of Buildings (L S-1 (R)S-2 i Rear City SP©K/91N(PT City cense No. (f irst) rtment,Use Only Space Subdivision/Plat Name Fitu2ca`prs Y.iA.c.364C tko tt >c&x' Sq. Ft./Acre Census Tract tate * * * DEPARTMENT USE ONLY * * °x IL Module No. Sheet Address Frontage Y)C'I 5 • 93_24 PoluNIP Phone ( 503 )qit( -/(-6v Phone If different than above Street Address Phone one if different than above 8 Owner/Agent (if different than 41 above) 4- bvt G Business Address 9 Zip 2 Review Required 5 Type Work 4 Describe Work WC/CD FP-1 M Ei Ci y Plan Check t�l WBl dg ❑ Fire IN) ❑ MN ❑ Demo State Other �/(YIN) t S CL &L14-, 10_Applicant Name A on-mnN E . Lot-4=1'; d2- g<New ❑ Add/Alter Phone SEPA Exempt (Y/ .1CS ❑ Replace ❑ Move tPeet Address ❑ Other /ttt"v / a/ L P c(A,c IS Zip qqat Lender City SThrC ti State 4(4 Phone 5o9 ' Q26, —7 46 eet Address Zip Contact Person Additional Information State Phone Phone if different than above ( 1 El Application Type (Standard unless otherwise indicated) Fast Track Early Start DEPARTMENT APPROVALS This is not a Permit (Indicated approvals required in either "release" or "release with conditions" space prior to permit issuance.) Environmental Health W. 1101 College Room 200 ❑ Commercial; Wiesidential ❑/New Construction; ❑ Bldg alteration/addition t7 Additional structure; APPLICATION # Release Release w/cond 1 Hold 2 Conditions/Comments' Planning/Zoning: ❑ Commercial; ❑ Cert. of Exemption; ❑ Frontage; N. 721 Jefferson ❑ Setbacks; ❑ lot w/d; ❑ lot size; ❑use/zone ❑ CU, variance, zone change; shoreline; 0 fence; ❑ Other Conditions/Comments Engineers: 0 Commercial; ❑ Residential; ❑ Flood Plain; N.811 Jefferson ❑ drainage ❑ new access/approach; ❑ fence; O road improvements Condltions/Comments Utilities: N. 811 Jefferson Conditions /Comments' Other: Plan Exam Fire Prev. Conditions /Comments' Project Representative Telephone Agencies Performing Special Inspection: 1 2 3 1 Indicate above or attach conditions relative to final as built approval 2 Indicate above or attach reasons for hold UJLES: 1) Building must be 2) Building must be 3) Building must be if property line is 4) Building must be 5' from property line 10' from drain field 25' from property line next to a street 10' from all existing bldgs. HOMEOWNER: "L /9�01,3-66%l.42 ADDRESS: //day PARCEL No. LEGAL: r�z /440'-i9ce,==./ D7- //— Z/J — 9 FfDYst.t ,ram w -.. •••••. 3a TRo s` 1. Draw in all existing buildings. 2. Draw in new building & how many feet it is from existing buildings and property lines. 3. Name all roads next to property. 4. Draw in drain field and whether you are on a septic tank or sewage system.