1981, 04-20 Permit: 81A-3699 Pole BuildingPLAN NUMBE7.
o
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.
JOB ADDRESS
12524 13cr�1
LOT
2.
BLOCK
SUBDIVISION
(ACC.u4tLLr✓ )
AO C) Te, bpi tZ.tc,i►v m
OWNER
3. 14 t! Y
ADDRESS
t2SZ4- bODNE.
PHONE
�1Z4—'?
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
tSS4Z- iib
ZIP
Actual Set Backs in Feet
North South 5
East 5' 'West h41
CONTRACTOR
i3RAt 3Th) '3 L V LDL.,
4' ADDRESS
1LYICI 'aerwa-A,J►ki
PHONE
Size of Parcel
x,61 x 1445
Zone Classification
A[:-1. `31.1t3u(ze A6i
ZI
PP
Type Const.
Occupancy
DESIGNER
5' ADDRESS
PHONE
V a I uption
Sprinklered
Elves ❑No ❑ Req'd.
Building Area in Sq. Ft.
51t4
ZIP
Main Floor
Upper Floors 1 Garage Area
•516,
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
L'1i1 NEW ❑ ALT.
dBLD. 0 PLMB.
❑ AD'N. 0 RPL. ❑ MVE.
0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
1
CERTIFICATE
of EXEMPTION
No. Rooms
No. of Dwellings
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK I
8. t;%.!. tau ILO rva Cva2 AE-, 6 u.� / `-Dukc?
Enum. Dist. I Location (Area)
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ❑
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 perm' .oes not presu
to give authority to violate or cancel the provisions of any other state or local law regula ' g .nstru tion • tt•
performance of construction. SEE RE - ERSE DE FOR REQUIRED INSPECTIO • Plu •ing
a /ft"g i �ech.
DATE OF APPLICATION SIGNATURE OF APPLICANT , /
FEES COLLECTED
Single $
Building*44.6e1
SPECIAL APPROVALS
NAME DA
eal
Planning
SPE AL CONDITIONS:
g2.°
Fire Marshall
Co. Engineer
t��C,15TlP -I 42.1111-
Utilities
Plans Examiner
SEPA Checklist
BuildingTechnician
91`!4
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 6XJ
PERMIT /:UMb.
I/A-3 '
02* *44.00
*44.00 175
*44,006
A *0.00
369.42
04-20-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.b► _
1.7rg
DATE IS$UE6',
3 6 '9 9'Z
PERMIT NO.
*44100api.
TOTAL
i ,
r
/5's' �l, _ /-3",
BRANSON
STEEL BUILDINGS ,
E. 10919 BROADWAY 6 SPOKANE, WA 99206 1 (509) 928-2279
I", RULES:
1 Bldg. must be 5'
2 Bldg. must be 10'
3 Bldg. must be 25'
if property line
(4) Bldg. must be 10'
from property line
from drain field
from property line
is next to a street
from all existing bldgs.
r cice 7 60
NORTH
HOMEOWNER:
ADDRESS: /2,A„ £T /,,c'
PARCEL # (PQr'► +
(Road) lec3
$`1
1
1. Draw
2. Draw
3. Name
4. Draw
5. Size
SOUTH (Road) -p /i y0 ,
in all existing buildings.
in new bldg. & how many feet it is from
all roads next to property.
in drain field and whether you are on a
of property.
Cr.
existing bldgs. and property lines.
septic tank or sewage system.