1981, 07-30 Permit: 81A-7647 GreenhousePLAN NUMBER
3 f q?
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
1.
2.
3.
4.
JOB ADDRESS
LOT
-5
OWNER
S't•� PHEry
ADDRESS
"3. C5 t'5
CONTRACTOR
��IcaAle,
ADDRESS
Alrx 6
DESIGNER
BLOCK
1
5. ADDRESS
136-cS--
SUBDIVTS1ON
VA ki i '1 o l -'tort)
LEGAL DESCRIPTION - SEE ATTACHED
. \ 4Au-c2
PHONE
qZZ,-- 3%33
PARCEL NUMBER'S
2 3�-3-18D 1
ZIP
cie--10 3?
Actual Set Backs in Feet
North 'South 3Q, East
(West
PHONE
Size of Parcel
ctOK 140
Zone Classification
Carroty
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
Vat{lation Building Area in Sq. Ft.
-7.a) lzc.>
ZIP
Main Floor
Upper Floors
Garage Area
C�(Z,SC,l‘.t rV_i
1ZC:i
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
IF(pEW 0 ALT.
BLD. 0 PLMB-
Lit AD'N. ❑ RPL-
❑ MECH. 0 M.H.
DESCRIBE WORK
8. AT(p1G4iE0
VALUATION
G12CEh> i�{'i�S—c
❑ MVE.
O POOL
(BA. e5)
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not/teq'd.
Enum. Dist.
1 Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
SL.P C� G
Ownership
Public ❑ Private El
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!I`
DATE OF APPLICATION •Il . ,SI ATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
f NAME DATE
En Health
Planning
Fire Marshall
Co. Engineer
Utilities
P s Exart
EPCh'is
119ing ch nician
1,74
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 11> %4cVc)
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $ L.46oa
PERMIT. NUMBF,R
S -764-i
02* *14.00
* 1400
* 14.006
A *0.00
757.38
07-284-81
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED PERMIT NO. TOTAL
10.
764,7g *14:0020
5-rcpt./en D. WPS
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