1979, 09-10 Permit: 79-3702 Pole BuildingPLAN 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 4 COPIES
JOB ADDRESS
LOT
BLOCK
57,v-rn.4,1 pi A) g.530.2
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
O ER
3 pt gig"? tA
CONTRACTOR 4. ryi✓� 141;44
AD ) ESS
� f; Sni,1`�i
DESIGNER
5' ADDRESS
PHONE
ZIP
PH NE
- 9175—
ZIP
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
U(NEW
KBLD.
92.07
PHONE
PARCEL NUMBER/S
/ 2-53 0 - gOog
N &i'ri• o r NE 4 BE 859' E, S � Gag Tit
N. loo' i14 IA) 1/5' -rH /Op-ro P.a,_B,
Required Set Backs in Feet
North South 5
East C(West
Size of Parcel Zone Classification
1)i) X/049
Type Const.
k) --N
Occupancy
M-1
ZIP
TO
❑ ALT. ❑ AD N. 0 RPL.
O PLMB. ❑ MECH: 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
V Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
oo
f) SOO 1
)WL Area
/,,2p 6
Basement Area Garage Area I Storage
I20
Split Entry
No. Baths
Split Level
No. Floors
No. Rooms
CERTIFICATE
of EXEMPTION
Rancher
Rec. Room
Req'd. Rec'd.
Not Req'd.
ESCRIBE WRK n
8. poi, we7JI Ie R,,(, �"d'(
VALUATION
Source
of
Utilities
GAS
ELECTRIC
r --
WATER
SEWER
"".5(i rr'iMc-,
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 con truction or the
perform ce offcons ruction.
DATE -I SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
A.0 -7q
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
k e p/4L P4,)
U
Af SDA
DATE 1-40:79 OFFICIAL 07�
APPROVED FOR ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ c;PO ASC
PERMIT NUMBER
DATE D —7q
02* *8000
*8000
*80006
E *0.00
3701 s
09-10-79
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COMES A PRMEIT.
0-10-79 370,25 *'80.00°-12
c g-J /WMcg