1981, 08-24 Permit: 81A-8484 Workshop, 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 ADDRESS
1. / -/ !i
OT
2.
OWNER
ADDRESS
n
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
/9
SUB
ISI KA r(?'� J lk f 4 /22
6 //
PHONE
ci-'Y_3-1-3
PARCEL NUMBER/S
001 — �u
Grp—' ..���L' C- (i(.
CONTRACTOR
M y' s-
4. ADDRESS
ZI Pp
Actual Set Bicks in Feet
North 'South
East
IWest K)
PHONE
Size of Parcel
><- 15'1)
Zone Classification
ZIP
Type Cogst.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
(0®E)
Building AreaaiQin Sq. Ft.
14‘'?)
ZIP
Main Floor
Upper Floors i Garage Area
torage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
x1 NEW
Ik� BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not q'd.
DESCRIBE WORK
8. /
VALUATION
9.
SOURCE
OF
UTILITIES
C
Enum. Dist.
ILocation (Area)
GAS 1 ELECTRIC
AyER
SEWER
Ownership `/
Public 0 Private Cf
/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 =' 51 SIGNATURE OF APPLICANT( : /047/z'
SPECIAL APPROVALS
NAME DATE
/Env. Health ^
/ L'/1 8 / C/ , -r -t J .-1,
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT V/1:11‘711
—1S4431
02* *1900
* 1900
* 1900
A * 0.00
8483
08-24-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
JD*.'
DAT 1t381
l7
848.4 Z. *190O—
PERMIT NO. TOTAL
p
d
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