1980, 03-04 Permit: 80-1778 Storage BldgPLAN NUMBER
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
,. . 7// Qe -a.o�,
LOT BLOCK •SUBDIVISION
2.
LEGAL DESCRIPTION - SEE ATTACHED
WNRE �l-141
3 /VA-1V
ADDRESS
��? 71/ aim,IP_ 4-rr.� .
CONTRACTOR
4. AD REwSwS,
DESIGNER
5' ADDRESS
PHONE
ZIP
99.2/4
PHONE
PARCEL NUMBER/S Q.C,, 4L ot7 -J5
Required et packs in eet
North 'South $7
i
East /e97 West S
ZIP
Size of Parcel
/6 '1C /32.
Type Const. Occupancy
Zone Classification
Sprinklered ed
❑Yes ❑No ❑ Req'd.
PHONE
ZIP
Vuation io Building Area Sq. Ft.
ad 60 a5te
CHANGE OF USE FROM
6.
TO
DWL Area I Basement Areal Garage Area I
2g0 Storage
/
Split Entry
Split Level
i
Rancher
TYPE
7. OF
WORK
Ip, NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Floors
No. Rooms
R-c. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
DESCRIBE WORK
LUATION
O
iu.i4e4
Sour e
of
Utilities
GAS
ELECTRIC
WATER
SEWER
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.
DATE 3 —e , SIGNATURE
DEPT.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
SPECIAL APPROVALS
REQ'D. REC'D.
3/3/ge)
Zone Clearance
SEPA checkl1/20ME OWNER
NO iJ
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ v S
DATE
PERMIT NUMBER
02* *38.0!0
*38,0'0
168.7g
03.= 03' -80
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t n, I} 4'- 8 '0
177,82 *38.00
U
w
a
RECORD OF INSPECTIONS
DATE REMARKS
Final Inspection
INSPECTED BY
02-02-0
1Q9
/ 3.2
All
I