1981, 06-09 Permit: 81A-5694 Storage BldgPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
l� APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1 JOB ApOR€s LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. I -P I -L�, y/��� Ij� I'oh� A�P-TioIj
3 tx t J I I PHO E ,r
8 S r� K 11b 0 �/� FEES COLLECTED
VA UA ON SOURCE GAS ELECTRIC WATER J SEWER Ownership USE CODE
OFT
9. UTILITIES Public ❑ Private
Single $
1 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
Building
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 R Plumbing
DATE OF APPLICATION / SIGNATURE OF APPLICA Mech.
SPECIAL APPROVALS
NAME DATE
Env.�ealth
of ; � —
Planning
Fire Marshall
Co. Engineer KO` -O
Utilities
Plans Examiner '^
N Of10
SEPA Checklist
SPECIAL CONDITIONS:
rim 1,4 LA-,, iq . old Wor"ITI
n PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify) -
PERM IT
Specify)
PERMIT TJUMBEtY
Std-
s��4
u� * 2 5 00
,k, ,
�:: 0 u�
*2`1)0
0
J 6 9.3
06-09-841
il
X474
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0�d 09 �8" 1 5694?
*'25.00.0-J -
ADaRESIP
Actual Set Backs in Feet
0
North South
East West
CON C
IVv_
PHONE
Size of ParcelO
Zo a Classif`icati �'
/OR
f'VShprri
4'
ADDRESS
ZIP
Typp Const.
Oc upancy
lered
VNIj
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
&0
5'
ADDRESS
ZIP
Main F o
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area off Decks
Finished Basement
Unfin. Basement
Baths
Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW
El ALT.
❑ AD'N. ❑ RPL. ❑ MVE.
TNo.
7,
OF
1:1OTHER
BLD.
❑ PLMB.
❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
'd.
WORK
of EXEMPTION
I
11\1:t
DESCRIBE WORK
Enum. Dist.
Location (Area)
8 S r� K 11b 0 �/� FEES COLLECTED
VA UA ON SOURCE GAS ELECTRIC WATER J SEWER Ownership USE CODE
OFT
9. UTILITIES Public ❑ Private
Single $
1 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
Building
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 R Plumbing
DATE OF APPLICATION / SIGNATURE OF APPLICA Mech.
SPECIAL APPROVALS
NAME DATE
Env.�ealth
of ; � —
Planning
Fire Marshall
Co. Engineer KO` -O
Utilities
Plans Examiner '^
N Of10
SEPA Checklist
SPECIAL CONDITIONS:
rim 1,4 LA-,, iq . old Wor"ITI
n PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify) -
PERM IT
Specify)
PERMIT TJUMBEtY
Std-
s��4
u� * 2 5 00
,k, ,
�:: 0 u�
*2`1)0
0
J 6 9.3
06-09-841
il
X474
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0�d 09 �8" 1 5694?
*'25.00.0-J -
[i
'v
LC) -r
1�?L®c< 3
h� A bVIIIO�
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