1982, 10-11 Permit: 82A-9349 Pole Barn!PLAN 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 3 COPIES
JOB ADDRESS
LOT IOCK SUBDIVISION
�-..)
PHONE
io- a, 3 0
3 OW ER
4.
6.
.4x.ct ' ' y �J ' CR °i.._
ADDRESS
CON5 ''.. ACTOR
\-'
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
‘,'B0 j
W.138' clf 6 1)2. 134_x -8
ZIP
ADDRESS
DESIGN
ADDRESS
CHANGE OF USE FROM
TO
PHONE
ZIP
PHONE
ZIP
Actual �Set t Backs in Feet
�
North '"L(1J 4- 'South 'East \ a l + 'West
Size of Parcel
Type Const.
Valuation
Occupancy
�°cu3
O
Main Floor
Zone Classification
❑Yes
SSprinklered
!e<No ❑ Req'd.
3,072,
Upper Floors
Building Area in Sq. Ft.
TYPE
7, OF
WORK
NJ NEW ❑ ALT.
❑ PLMB.
❑ BLD.
11E WO
8.
VALUATION
9. a ,Oc)
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Area of Decks
No. Baths
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Garage Area Storage
Finished Basement
Unfin. Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. Location (Area)
Req'd.
Rec'd.
Not Req'd.
Ownership USE CODE
Public ❑ Private (r
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 regulatin onstruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP . INS
DATE OF APPLICATIOVO —_ SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
Env. Health
hldr 1Z60 0-
Planning
Fire Marshall
Co. Engineer
Utilities
s Ex iner
S PA e list .,
BL ding T hnici
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
54.2
TOTAL $ 64..C6
(PERMIT NUMBER
02* *54.0G
*54,006
A *Q0fi
93488
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
2 9349z *5400
PERMIT NO. TOTAL
0
0
N
24 -0"
Pe °POSE. G
241/ 32 ✓Ql r eat-aA
5A LDW:
1300'
0