1981, 09-01 Permit: 81A-8780 Storage BldgPLAN NUMBER
4
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.
JOB ADDRESS
LOT BLOCK
2. -).
ll �4cvMc.STE AI's (Jr
B IVI ION
ROTC iiifGO�p .
LEGAL DESCRIPTION - SEE ATTACHED •
AC.2.6 -reacts
OWNER
3. th114 t2'rl n7
ADDRESS
5.1t7�
i .
PHONE
qae, 17-1
PARCEL NUMBER/S
9-45-4-3-• 042-0-
1-O rex CStc AD
ZIP
ccjc-n
Actual Set Backs in Feet
North SouthG 7
East
1West ti.
4.
5.
CONTRACTOR
a u, a . ‘•
Cb:.vtiT&-f S-ccs._'p; oc5
PHONE
.53:5 -(ioi
Size of l ParceZone Classification
1'jp Parcel
of AFPPri-&.% AG2tcut -ctaar;.
ADDRESS
N, On -c '
DESIGNER
ADDRESS
ZIP
Qk2UL.
l r
Type Const. I Occupancy
Sprinklered
❑Yes ONo 0 Req'd.
PHONE
ZIP
Valuat' n •
G,, 480
Main Floor
Building Area in Sq. Ft.
logo
Upper Floors 1 Garage Area
Storage •
OP)CS
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin.- Basement
TYPE
7. OF
WORK
r✓NEW 0 ALT. 0 AD N.
LH BLD. 0 PLMB. 0 MECH.
O RPL.
O M.H.
0 MVE.
0 OTHER
0 POOL
No. Baths
No. Stories
1
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Re 'd.
Not cq'd.
DESCRIBE WORK
8. -TheTA(-HF o
Ai VALUATION
` -c.R F -K E 8untl0(.v(O lai �£aA '30ii3ca
Enum. Dist. 'Location (Area)
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private I2l/
USE CODE
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 APPLICATIO)' Q /` SIGNATURE OF APPLICANT N ✓� y�� """"
SPECIAL APPROVALS
NAME DATE
Ent Health
WAY 4/Iasi
Planning
Fire Marsha
Co. Engineer
Utilities
Pians Examiner
1Jf Rod b•
SEPA Checklist
Building Technician
9tt}LMak
SPECIAL CONDITIONS:
PLANSS Grp FILE L CI.SSctitErt iv L,tAIL.o, about, twit; C
• chun la -a Kill
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building 4C.,;Z UD
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ G,Z.CXT
PE RfJii'� NUMIER
81 It -t e°
02* *6200
* 6200 Zn
* 62008
A *000 8
•8'7 Z9 2
09-01-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0191 "911 8,1�
DATE ISSUED
8210 Z *;6:20 QS.'
PERMIT NO. TOTAL
1-- ct 4 0"6-1 1 i 1 I I
Ati4e4/;:ti_it._114"41 • , •
, • S ita H0A-LesYeALP Cot -712,1 - ---E
rzt-' • ---+—
IlarigAdAike 1./444.C19?•037
zo la,1/447,,Kici
3/
Vo1
_ 14_50-104 t._ % 3 _ _
1 /
Ay Siacii,‘
ti -J1'7
. ,
I i
I .
. r
: . .
I _ _ • . il r2 ;.4c k‘-.,57 41,01- •
I •
•
)
. 1. • - k,
' I i : i 1 1 1 i • t --I - i _ t t t,
. I tC-itt
-i'rs'
1 ; , . _ . .
i_ii_ i- J._1 1.__I ; 1 1 is0;1
1 , t
1 1 1 1 1 1 1 1 1
1 1 1 5i,i)..4-;a1 '-- ! / 11 ; _1 1 -11--1-1----:1-*';"---AT---7-
, , , — _ _ . -
- c
_ ,A0 ......__,..... i