1982, 03-22 Permit: 82A-2073 Storage BldgPLAN NUMBER
V
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. E..t3a\t l-\Ea.oy
LOT BLOCK SUBDIVISION
2. 1 �,
LEGAL DESCRIPTION - SEE ATTACHED
L'LA22.X.Stnt3'D111Ls for
OWNER"�
3 (,LJ L F¢.E.D W IU tAwtS
ADDRESS
. 1'i221 > crw4
CONTRACTOR
—Co Q. COc-iNT2y
4.
PHONE
G0.4 --a 15cf
PARCEL NUMBER/S
bpi
ZIP
aq2..lc,
Actual Set Backs in Feet t
North
S- c.'�
reat-ckjS
PHONE
S3s-4ct4.
!South ��
Size of Parcel
XISS
ADDRESS
1.4 • 127.o 'Fw1v1C0l C2._
ZIP
DESIGNER
6. ADDRESS
PHONE
ZIP
Type Const.
Occupancy
1
Valyation
80'8 1,1•0
Main Floor
East 2.0 (West
Zone Classification
`JtNtiuLE �QIMtL�i
Sprinklered
Oyes ONo O Req'd.
Building Area in Sq. Ft.
--rte. e. 'ft°
Upp Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
iNEW 0 ALT.
LJ BLD.
0 PLMB.
O AD N. 0 RPL. 0 MVE.
O MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
(
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not o'd.
DESCRIBE WORK
CD e TAct-kc
VALUATION
*2.-8Rp
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 3//6//7 72.
-S-tof3.WGs6 `aLau-P LfVCC
SOURCE
OF
UTILITIES
GAS
ELECTRIC
440SWb i.24XS 2')
WATER SEWER
Enum. Dist.
Location (Area)
Ownership
Public 0 Private LJ
USE CODE
SPECIAL APPROVALS'
NAME DATE
Env alt
ammng
Fire Marshall
Co. Engineer
-Venin .3/16.at
Utilities
Plans Examiner
�f tl�nas a� �It,E
SEPA Checklist
Building Technician
v)trev
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
Asppltcasii f &&u 2r 'Lb &pp�+A ier &p?tveC&
GwSSiv.t 9 °pe 1-% kr • Shits
VOCE •
Ie.961+161CIZ6 kSJc v(Tz ,•466•T1-fi
SGP !Ago. -= ad)
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 r%JMBERs _ 72,2
vim% <(J
02* *47.00
*47.00
*47.006
A *0.00 3
18612
03-16-82
2 6479.
I1y
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1i. t, -I1
0,137121,2,7,112,
DATE ISSUED v
20i7a3.Z *.40.00
PERMIT NO. TOTAL
o J -
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