1982, 04-15 Permit: 82A-2846 Storage BuildingPLAN NUMBER
1
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. da T;061..A.iU
LOT
2.
OWNER
3.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
ADDRESS
N
PHONE
ct
ZIP
PARCEL NUMBER/S 0 zicUNIry 1oo1 d,,
or to. D–AC. 131-1– \-1-k
Actual Set Backs in Feet
,�
North South East \3<'; West
CONTRACTOR
4. � Aa'V1G� >=i.L COf CPa4C_TC:�td.��
ADDRESS
PHONE
Size of Parcel
dOOc 3 (2
Zone Classification
ZIP
Type Const.
i 1i �1
Occupancyf`
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Vayteition Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
Bi EW CI ALT. ❑ AD'N.
LD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL.
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Re d.
DESCRIBE WORK
8. '52-s1-02..4\& –a LA ly.ID t r._iC',
VALUATION GAS
9.
SOURCE
OF
UTILITIES
E ECTRIC
WATER
SEWER
enc_
Enum. Dist.
Ownership ,,_,//
Public ❑ Private LN
ILocation (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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
*//
Planning
Fire Marshall
Co. Enginee
Utilities
Plans Examiner
oAs
SEPA Checklist
B in echnici n
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building ea `CV
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT iJUMBtr.
02* *8200
* 8200 17)
* 8200
A *000
2'79.22
04,-14,-82
2 6,479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4i;'8
0; 2
DATE ISSUED PERMIT NO.
28462 *82,00 2,0 _
TOTAL
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