1982, 06-03 Permit: 82A-4466 Hay BarnI APPLICATION/PERMIT
PERMIT NUMBS
may. -
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
es No Req'd.
1•
WN
LEGAL DESCRIPTION — SEE ATTACHED
L B K S
2
BD I ION
PARCEL NUMBER/S
� '%�/✓��q.
OWNER
3 /6 , - 6 I K 11-26
��[
PHONE
I
AD ESS
ADDRESS
ZIP
Main Floor
�
Actual Backs Feet
CON CT
Storage
HONE
North South �0 East West
Size f Par I Zone Classification
4'
ADDRESS
_
ZIP
Ty C nst Occu Sprinklered
fancy
zi M ❑Y F-1❑
02* *61,00
* G i
00 u�--1
*61.00
A *C 00, IFF
422.3
05-2682
ZT 64%C.
DESIGNER
PHONE
Valuatio
es No Req'd.
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Uppe Floors
Garage Area
Storage
_
CHANGE OF USE FROM
TO
6.
Area of Decks
Finished Basement
Un in. Ba men t
TYPE W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF
No. Baths
No. Stories
No. Rooms
No. of Dwellings
El OTHER
WORK Bt D ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not 6teq'd.
DE C IB WORK
$'
2��
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
G S
ELECTRIC
WATER
SEWER
Ownership SE CODE
FEES COLLECTED
UTILITIES
Public ❑ Private
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
Single $
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
Building—�-
presume
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. S E REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT '
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Env alth
Plan Check
W /
Planning
��t y�c�c �i%��JGC `
SEPA
c
c
Fire Marshall
Mobile Home
_
L
Co.
ngi er
p�
Other (Specify)
Utilities
dans Ezsaminer
TOTAL $
is
>EPA Checklist -------
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
%LLding Te cia
PERMIT IS NONTRANSFERABLE
0 6
414'6,'6 d *'6 10 0 ao FJ- _
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANriz
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