HomeMy WebLinkAbout1982, 09-01 Permit: 82A-7703 BarnPLAN NUMBER {•
APPLICATION/PERMIT
SPOKANE COUNTY .,,, -L BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON,POKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES
JOB ADDRESS `J/
1. LOIS' BLOCK SUBDIVISIO
2. N.1 %.54".I acil ..2.)
t
e 44
DESIGNER
LEGAL DESCRIPTION — SEE -ATTACHED
5. ADDRESS
,7IONE��
ZIP
Z P
PARCEL NUMBER/S .
3
Actual Set Backs in Feet • /
North n4:12 'South �0O East 7"S 'West 4/4
Size of Parcel
PHONE
i27x 3' t
Type Const.
Vaation
Occu ancy
Z ne C assification
Sprinklered
❑Yes ❑No ❑ Req'd.
ZIP
Main Flood
N. /9-•
-
Upper Floors
Building•AArrea in Sq. Ft.
Garage Area
N�
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks f Finished B
asement
TYPE
7. OF
WORK
%NEW 0 ALT.
BLD. 0 PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
0 OTHER
0 POOL
No. Baths
a --
No. Stories
No. Rooms
Unfin. Basement
A/4
No. of Dwellings
r
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not §Ceq'd..
8.
D/8 ESCRIBE WORK
i
VALUATION
GAS
9.
S RCE
OF
UTILITIES
Enum. Dist.
Location (Area)
ELECTRIC
WATER •
SEWER
Ownership ������,,,,,,{{{{{{
Public 0 Private
USE CODE
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 construc '.n. SEE REVERSE SIDE FOR REQUIRED INSPE . IONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. H .Ith
lanning
rig/
Fire Marshall
Co. Engineer
Utilities
PInsa Examtrier
SEPA Checklist
I SIGNATURE OF APPLICANT
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 $ 7
•
PERMIT NUMBER
703
02'* *47.00
*47.006
A X0.00
768.1''x,.
.08-314-82
g 647'9,
ti
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'.: