1981, 10-21 Permit: 81B-0914 Hay ShedPLAN 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
1 t3
LEGAL DESCRIPTION — SEE ATTACHED
2.
3.
LOT BLOCK
OWNER
r.L
SUB,D/ VA�I (S(�II..,,O
ADDRESS
✓• 2�II
HOf tE 1
PARCEL NUMBER/S 07,1,1
tki I43F
Actual Set Backs in Feet
North �'r_C-2 'South
4.
CONTRACTOR
PHONE
Size of Parcel
East (West ` 10
Zoe Classification
LC -
ADDRESS
ZIP
TyyeIConst.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
'72-0
ZIP
Main Floor
Upper Floors Garage Area I _..$ rag5
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
'NEW
0 ALT.
BLD. 0 PLMB.
❑ AD'N.
O MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not 'd.
DES RIBE WORK
8.
Enum. Dist.
Location (Area)
VALUAT ON
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATE R
SEWER
Ownership
Public El Private
SE 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 INSPECTIONS
DATE OF APPLICATION
c
447
SIGNATURE
SIGNATURE OF APPLICANT1LCf/Yt�
SPECIAL At'PROV ' LS
NAME DATE
En j I
Planning
e29
Fire Marshall
Co. ngineer _
Utilities
W;a_IsE .. In r
11114
eck ist
• Te
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/
TOTAL $
PERMIT-"JUMBEI?
02* *38.00
*38 8.0 0 175
*3aoo
A *0.00
9961
09-29=81
2 6(179
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1,
1'11.1
DATE ISSUED
8i`
99
1 d 3 8((�� °�
PERMIT NO, 2 * 4b ,,2
0
U
)
w
J
•
si
Eugene Tinsen
So. 2511 Best tioad
Veradale, run
rarcel Number
265+3 - 0311 - 0
Legal Description
Vera W z of B1k 212 Exc
N 260' & S 85' Of N 470' Of
W 1 0'
A/
A
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Date tJeit /7 ,1977
To Building Codes Department '
From_Planning Department_ �_C3-.=w �Gt>
Subject Building Permit
The Planning D9partment has received a request from
/161✓ for the release
of a building permit on the property as described on
the attached affidavit/legal description. It has been
determined that a building permit should be issued
under the provisions of RCW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.
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