1982, 03-08 Permit: 82A-1557 Water TankPLAN 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 .
1.
2.
3.
4.
JOB ADDRESS C/
`7// Y°,Q,L�
LOT SUB IVISION
B O K
ea 41
LEGAL DESCRIPTION - SEE ATTACHED '
PARCEL NUMBER/S
5.
OWNER
-eV 11.141 4l �/_f
ADDRESS /n I � jcj f c
CONTRACTORI(2, OAC/* 1 � y 4
ADDRESS
DESIGNER
14, 3 00,3 (4
P ONE
ZIP
9�a a7
Actual Set Backs in Feet
North ISouth
East
(West
aq
PHONE
fF9q - 4143379
ZIP
9„Z07
PHONE
Size of Parcel
Type Const.
Valuation
Occupancy
Zone Classification
Sprinklered
Oyes ONo 0 Req'd.
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unftn. Basement
TYPE
7. OF
WORK
9.
a
O NEW
O BLD.
C..
DESCRIBE WORK
VALUATION
O ALT.
❑ PLMB.
DD N. g RPL.
MECH. 0 M.H.
O MVE.
❑ POOL
0 OTHER
SOURCE
OF
UTILITIES
UAS
ELEQT RIC
WATER 1 SEWER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist.
Location (Area)
Ownership
Public 0 Private 0
USE CODE
Req'd.
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 c_S C T " 2 -
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
airlifta
SPECIAL CONDITIONS:
LsMs7u t R oteucl-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ (Coe ea
PERMIT NUMBER
eiA-ts5'7
04* *160'0
* 1600 N
* 16006
A *0.00 8
155.62
-03-08-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1
0;`3;1..0 • 8 ;8:2
DATE ISSUED
1155'7 Z,
PERMIT NO.
'116.0M g le. -
TOTAL