1980, 09-02 Permit: 80-9385 Pole Bldg w/Slab(PLAN NUMBER « .
V
9/. .2 / APPLICATION /PERMIT
--f SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LOT BLOC
OtAle--
BDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
DESIGNER
P ONE
�?� —chi)?
PFiONE ry
Z �P
PHONE
PARCEL NUMBER /S t.245-3,19.2— `i 441
Actual Set Backs in Feet
J
North JSouth
Size of Parcel
East /
Zone Classificationry�
West 5--
T pe Const.
G�
Va at on
Occupancy
Sprinkle red
❑Yes ❑No 0 Req'd.
Q
Building Area in Sq. Ft.
• ADDRESS
ZIP
Main Floor
Upper
7o
Floors 1 Garage Area
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Storage
Unfin. Basement
TYPE
7. OF
WORK
��,��,
NEW ❑ ALT.
111`111 BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
DESCRIBE WORK
8.c;?}/l'3(-'
VALUATION SOU E GAS
OF
9. UTILITIES
1
LECT R I
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not R
Yu ��
Enum. Dist. I Location (Area)
WATER
SEWER
Ownership
Public ❑ Private
USE CODE
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 authority 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 INSPECT!
DATE OF APPLICATION
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. /Z
Pla Wing
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
CN rIt.ct
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 60
PERMIT NUMBER
02* *5000
* 50,00
* E0.006
E *0.00
927,78
08 -2E -80
6.479.
J
VF)
U
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,9'-4 2'' 8 +0
DATE ISSUED
938.5 °z
PERMIT NO.
x50,00 °�
TOTAL
BRANDON STEEL BUILDINGS
E. 10919 BROADWAY • SPOKANE, WA 99206 1 1509) 928 -2276
RULES:
1 Bldg. must be 5' from property line
2 Bldg. must be 1.0' from drain field
3 Bldg, must be 25' from property line
if property line is next to a street
(4) Bldg, must be 10' from all existing bldgs.
HOMEOWNER: rt yry
ADDRESS: / / ? -tA
PARCEL #
LEGAL:. .2 46%2
J
R/ 6- - e
1
l%
NORTH (Road)
ys'
JIY
,jf
SOUTH
(Road)
1. Draw in all existing buildings.
2. Draw in new bldg. & how many feet it is from existing bldgs. 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.
5. Size of property.