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1981, 07-14 Permit: 81A-6949 Pole Building
PLAN NUMiR e'') 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 LOT BLOCK SBDIVISION did/42_ 7Wer- y .N 7 OWNER 3. EC), /r7, yO ADDRESS fit 67 COfyfif271ek469,/_s ^ 4. (�'� S AD st) it 4„,5„i „, 7142. ZIP DESIGNER ADDRESS CHANGE OF USE FROM 6. TYPE 7, OF WORK PHON yja is�7 PHONE' ZIP TO EW D ALT. ❑ AD'N. ❑ RPL. ❑ MVE. BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL 0 OTHER LEGAL DESCRIPTION - SEE ATTACHED PARCEL NUMBER/S /6_6-4742 _ ©3o/ Actual Set Backs in Feet 'South L�` .S9 East 4 -St North West Size of Parcel /o/ Cee, Type Const. V -N 1 Zone Classification ccupancy DESCRIBE W K - 8. . E4 (57-6-)3.14-6-� VALUATIO SOURCE/GAS ELECTRIC WATER OF 9. UTILITIES V SEWER Valuation Main Floor Sprinklered ❑Yes DNo ❑ Req'd. 'Building /Arreain Sq. Ft. Upper Floors Garage Area © Storage Area of Decks No. Baths Finished Basement No. Stories CERTIFICATE of EXEMPTION Enum. Dist. Unfirf. Basement No. Rooms Req'd. Location (Area) 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 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 Q a / _SIGNATURE OF APPLICANT DATE OF APPLICATION SPECIAL APPROVALS NAME DATE En Ith / Planning Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist Building Technician SPECIAL CONDITIONS: MAIL— To coNigAc-ru - WLEEN grApy PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE No. of Dwellings Rec'd. Not Req'd. FEES COLLECTED Single $ Building 3 %S' Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL PERM' r'" BER 8'2. 1,94/9 D2* *3800 *380,0 *38006 A *0,00 0 68688 :07-09-811 z 6479. WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. 01.741' 69 4.9 * 3. $, 0.0 R. pi DATE ISSUED PERMIT NO. TOTAL c O LL 0 SHEET NO WW < < 0 CALCULATED BY z_ 1- U Q Q'm09 z �Qlf) 0 co (1) W (N.1 Ia) 0 I- 0 oO— cc w cr) m H 0 0 0 U CHECKED BY w J O N- ,1Aa1 o4,0disk ped :4; \ Huse.