1981, 07-31 Permit: 81A-7684 ShopPLAN NUMBER
//--3/%-
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
J APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3.COPIES
JOB ADDRESS
1. bLL1FF ROAD
LOT
2.243
OWNER
3 TDVN Yi{EISEN
ADDRESS
Lt).2003 3RD
CONTRACTOR
SAmE
ADDRESS
SAvhe
DESIGNER
BLOCK
9
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
.5TEA9K5 ACRE i?ARK AZ) bi?Iorr
4.
5.
PHONE
433E-7i4q
PARCEL NUMBER/5
24514-Ln&Z
ZIP
gQ2o4-
Actual Set Backs in Feet
North .JOS 'South
East Wast 461
PHONE
Size of Parcel
A AuFs
Zone Classification
AGe.IwCTU 12AL •
ZIP
Type Const.
gN
Occupancy
"-2
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation�
j
Building Area in Sq. Ft.
(07(0
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
(alio
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfln. Basement
TYPE
2. OF
WORK
L/, NEW 0 ALT. 0 AD N. 0 RPL.
LJ' BLD. ❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories '
2.
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not F;eq'd.
DESCRIBE WORK
s. Slab? — 'PR JA -TE
VALUATION
9.*4, b5G
SOURCE
OF
UTILITIES
GAS
W/S,LA L3
ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership USE CODE
Public 0 Private
I hereby certify that I have read and examined this application and have read tY
on reverse side, and know the same to be true and correct. All provisions of la
type of work will be complied with whether specified herein or not. The grant
to give authority to violate or cancel the provisions of any other state or local I
performance of construction. SEE VERSE SIDE FOR REQUIRED INSPECTII]
DATE OF APPLICATION
SPECIAL APPROVALS
'SPNAME DATE
XEnv H Ith
anning
Fire Marshall
Co. ngineer
WO
Utilitie
•
Plan Examiner
'SEPA Che II al -4-1/7M
Building Technician
SIGNATURE OF APPLICANT
e "NOTICE" provisions included
ws and or nances governing this
ng of a pe snit does not presume
aw egulati construction or the
SPECIAL CONDITIONS:
STA 12 -Ten Ttoa To
a
#PCRA, L7
`jtCic /7 /t --.1.a7 /r&'
KrerJ Cf\ O 116 i
C41 c to 70
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify) LL
1N V 26T. FC'E
TOTAL $190.00
$
50.00
PERMIT EMBER
0,2* *50.00
*5000
* 50.008
A *000 8
7'6&2R
0,7- 3 1 - 8 1
2 6479.
02* *5000
* 5000 L
*50.008
A +0.00
7;68.32
0.7-31-81
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7! 6 8:44 2, *9.'0 a 0.0 2.'0;
PERMIT NO. TOTAL
}
0
0
LAI
- J
LL
E.
•
• •
DEPARTMENT OF BUILDING & SAFETY
• BUILDING -PLUMBING - MECHANICAL - FIRE
811 N. JEFFERSON SPOKANE , WA. 99260-0050
TELEPHONE : 456-3675
SPOKANE COUNTY
JAMES L. MANSON, DIRECTOR
r
July 9, 1981
•
Tom Theisen
W. 2003 3rd Avenue
Spokane, WA 99204
Dam- Mr. Theisen:
Our District Building Inspector reports that you have built a shop
building located on Bluff Road without a valid building permit.
(Reference our letter of December 16, 1980) . The permit application
has been approved, and you may bring in or mail a check for $100.00.
If this matter is not resolved with our department within ten (10)
working days of the date-o&this letter, it will be turned over to
• our statuatory legal counsel for further action.
Sincerely,
Haines
for ding Technician
Arthur Erickson
District Building Inspector
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