1982, 01-12 Permit: 82A-228 Pole BldgPLAN NUMBER
f°
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JO ADDRESS B
1. � /3J ?,IL
LOT OCK SUBDIVISION
OWNER
3 (7.1:4,-/-
.L/f
1
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
dal f/7
ZI P
PARCEL NUMBER /S
/ '553 -- 6302c
CA, NTRAC Oi
�
,
950DaEss.,7
DESIGNER
5. ADDRESS
PHONE
ZIP9, 7 7
PHONE
Actual Set Backs in Feet L
North / 7( 'South ()1S
Size of Parcel
C CJ
East
Type Const. Occupancy
(West
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
qqV�. Iuation
ZIP
Mai!) Floor
Upper Floors
Building Area in Sq. Ft.
Garage � � Storage ea
o
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished
Basement
Unfin. Basemen
TYPE
7. OF
WORK
NEW ❑ ALT.
CKBLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
(
No. Rooms
No. of Dwellings
t
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Recd.
DESCRIBE WOR
8. / OA E` S-406
Act VALUATION SOURCE
OF
."3 ID-0 UTILITIES
GAS
a eml , .SL e94 (24,,x;5)
E ECTRIC WATER G, SEWER
Enum. Dist. I Location (Area)
Ownership �J/USE CODE
Public ❑ Private '6d
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 INSPECTIONS
DATE OF APPLICATION
/- / / -i°Z
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
E
P .nning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
2E-Ca P
SEPA Checklist
B 'I�Technici %'
�fy
SPECIAL CONDITIONS:
EX it-ST NY—k
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building 54.00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$,
PERMIT fr_'"".^_iC
- 22-5
02* *5400
* 5400
* 54 006
A *000
2242
Q1 -12 -82 _
2 6.47c
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 t1? x'8, 2 •
2.285 *5.4002
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
(509) 924-1557
'- I I r 1
SHEET NO. OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE
E- 1731E3 16'
1'
. .
.• !
. .•
. t
.•-
. : : ..• :
:>.?:I
.. i
; : .••
i i•
..•
.•
..:
.•
i .
. .••
: ..• : „ . . .
.." :
..:
.• .• .. .•:
.. .• . .•••
i< < ...4......i,......4.. .i ... 4 '.. 1
. : I‘ --• : ! + 1 i : : : i i ! !
. .• .
: i i' . : Sol ! MP:- a s' e: -,:•' 1 . !-- 1 :'.: :! ! ' ' ' i
7 , ' .1 : ' i ! ; : • .; -s, : : 4:
i i I
'; ] : 1 ., IICO : : : , : t• : , . : 13,A44ie,
: .
: .
: : 1 : '‘ :. ald 'i • ' 41 .! )■K i i '; sr i•+:' .. : :: .:'• . :::---e›.
: .• :
. . : . .
. :
. . . .
.• . :
t
: • 7
. •
•
. :
. :
.•
: .
.•
.•
.•
. .
. .• :
. .
.• .
: .
FORM 204 Available horn /A../tva0 Townsend, Mass 01470