1982, 11-01 Permit: 82B-0450 StoragePLAN 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 ` DDRESS
LOT
BLOCK
SUBDIVISION
OW EKt
3. G� 117
g(,
A9, Qr
"NTRACTOR ) O _ -JL
HONE
ZIP
PHON
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
w, 7 ?
!3'5111 - //0`/
Actual SetpBacks in Feet 0
North /SO ISouth4at✓' 'East
S
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE EW 1=1ALT.
7. OF
BLD. LD. ❑ PLMB.
�s CRI,BE W RK
8. 1' x e
VALUATION
9.
SOURCE
OF
UTILITIES
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
GAS
ELECTRIC
WATER
❑ OTHER
ize of Parcel
8
Type Const. Occupancy
.r INI —1
West
Zone Classification
Sprinklered
Des No ❑ Req'd.
Vhi ation
Main Floor
Building A ea in Sq. Ft.
V
Gar Are
No. Baths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
ER
Ownership
Public ❑ Private
Storage
Unfin. Basement
Location (Area)
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 rj lating constructioM or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION
c� SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Cfj
SEPA Checklist
5ing Technicia
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
FEES COLLECTED
Single $
Building t51Z''
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $
PERMIT NUMBER
0215 -
02* *8200
*820.0
A *000
'1 q -01 -82
2' 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
11hh (., pp
DATF ittPDDI:
qq, � p
2 PERMIT NO.5r'O Z *'8 21oQdt_i'
- - • - ; ' • •
i•- 1. • ;-
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