1983, 10-05 Permit 83A-9948 Storage BldgPLAN 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.
PARCEL NO.
'7.x_;44
2.
3.
4.
5.
LOT
OWNER
-� *Aau t:. '-t
BLOCK
SUBDIVISION
' 'A O D , rn G tz c r�.laGrz�s.;
MAILING ADDRESS
€�..(,04it„CakI3
TRACTOR
HCiF(L
ADDRESS
fv r t.0P_3
DESIGNER
ADDRESS
lh�C,t13L.�
A'\t L0
PHONE
LICENSE EXPIRES
PHONE
60-4 - 60C�?
ZIP
PHONE
ZIP
�3Ct)-C)-)
PHONE
ZIP
LEGAL DESCRIPTION:
Actual Set Backs in Feet to:
North ISouth [East
Size of Parcel
2►Ci.k 2
Type Const.
�.N
Occupancy
I
N rConst. Valuation
�P FS , 4a4 3
Main Floor
Zone Classification
IWest
Residential i�"
Commercial 0
Spr nklered
❑Yes ❑No ❑Req'd.
Remode ed Valuation
Upper Floors
Garage/Storage
1 4-4C3
Total Bldg. Floor Area
Greenhouse
6.
CHANGE OF USE FROM
TO
Cover Deck
Uncv. Des_
Fin. Basement
Unfin. Basement
TYPE IZ(NEW ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE.
7. OF
WORK C'BLD. 0 PLMB. 0 MECH. ❑ M.H.
0 POOL
0 OTHER
No. Baths
No. Floors
No. Fin. Rooms
No. Dwellings
Certifi. of Exempt.
or Variance
Required Yes❑ No
Received Yes❑ Nor)
Numb@r,
DESCRIBE WORK
8.
9.
VALUATION
SOURCE
F
UTILITIES
GAS
t-) (, —
(6x4 )
SEWA
0 SEPTIC
0 SEWER El
ELECTRIC WATEPUBLICR
PRIVATE
Shorelines/Flood Hazard
Yes0 Not Applic. ❑
Ownership
Public 0 Private
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 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
SIGNATURE OF APPLICATION
OWNER OR AGENT �.- i ��-zU — DATE �� /�
SPECIAL APPROVALS ---SPECIAL C • DITIONS: (SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE
Env. Health
Planning
Fire
Prevent.
Engineer
Utilities
SE PA
Plans
Exam.
Building
Tech.
Ati
liL
L6
PERMIT IS NONTRANSFERABLE
PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
IN 180 DAYS
Plans Required Ri/
Received Lai
FEES COLLECTED
Building q' aC
Plumbing
Mech.
Plan Check
SEPA
Modular!
MFG. Home
Other (Specify)
TOTAL $
PERMIT NUMBER
83A 9Q18
02* *89,00
*89.006
A *0,00 8
994.7
10-05-83
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATEI$SSUEQ 5 83:
PERMIT'NO. T. 8 z
*89.00 L
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/S-/C4J r{vE -a- • --+ 1
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F_Xis-n RESIDENCE
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