1982, 02-18 Permit: 82A-1091 Pole BuildingPLAN NUMBER
1I
1/
2.
OWN R G
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DDRESS
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A TO
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APPLICAT'C'"I/PERMIT
SPOKANE COUNTY — BUIsLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
Ll4 BL C SUBDIVISION
4.
DESIGNER
5. ADDRESS
96 ,i0P3
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S /,� 'S e /
&i C�
CHANGE OF USE FROM
6.
TO
PHO £
&;2
7
PHONE
Actual Set Backs in Feet
North /7 'South .' 7
Size of Parcel
1ci x /
East
(West/acs
Zone Classification
Ttpe const.
Occ pincy
Sprinklered
❑Yes ❑No ❑ Req'd.
ZIP
Valuation
Building Are ykSq. Ft.
Main Floor
Upper Floors
Garage Ar
Area of Decks
Finished Basement
S orage
Unfin. Basement
7.
TYPE
OF
WORK
EW ❑ ALT.
XBLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
DESCRIB �L RK �
8. O
VALUATION
9.
SOURCE
OF
UTILITIES
❑ RPL. ❑ MVE.
❑ OTHER
❑ M.H. ❑ POOL
5L._4-6
GAS ( ELECTRIC
WATER
SEWER
i
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Enum. Dist.
ILocation (Area)
Ownership
Public ❑ Private
SE CODE
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
on reverse sde, 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 /j�� ,f
DATE OF APPLICATION4 ��7—/ SIGNATURE OF APPLICANT l"Gsc'K4c-'(1.04(
SPECIAL APPROVALS
NAME DATE
PI.nning
Fire Marshall
ngln er 1/,
Utilities
Plan Examiner,
c'4.t1O
SEPA Checklist
SPECIAL CONDITIONS:
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Ree('d.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
w 1° ?-1
02* *4000
*4000
*4000'6
R *000
1,07.92
02'-16-82
6479
WHEN MACHINE VALIDATED IN THIS SPACE
THIS BECOMES A PERMIT.
O'r44 8 82
DATE ISSUED PERMIT NO.
1'09.12 *40.00°a°e
TOTAL
158
Nicholas M. Frison
N. 1121 Calvin Rd.
Spokane, Washington 99216 924-6983
Parcel No. 14542-9218
Legal:
14-25-44 PTN OF SE1/4 OF NW1/4 MP; BEG AT NE COR OF LT 1
BLK3 VERADALE HTS 5TH ADD & W LN OF CALVIN RD TH N283.64'
TO TRUE POB TH N TO PT ON N LN OF SE1/4 OF NW1/4 TH W158'
TH S202' TH E158' TO TRUE POB
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