1981, 11-30 Permit: 81B-2210 BarnPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY BUILDING CODES DEPARTMENT
ADDRESS
ZIP
TypgC nst.
Oc pancy
Sprinklered
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
❑Yes [:]No ❑ Req'd.
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
Valuation
Building Area in Sq. Ft.
LOT
B O K
BD
5'
`/'�
Floor
PARCEL NUMi ER/S f �� �
��
2.
("7
ADDRESS
►.� xJ .
v
Floors
Garage Area
OWNERA-W
PHO.
/�YLVI
4�'jStora
CHANGE OF USE FROM
Area of Decks
3.
Un in. Basement
4
ADD
ESSIFJn��P
X44!!
No. Baths
No. Stories
et Backs in Feet
No. of Dwelling
7, OF ❑ OTHER
Northal
Sout East West
CONT
CERTIFICATE
Req'd.
PHONE
Size of Parcel
Zo a Iassification
of EXEMPTION
DESCRIBE�OR
4
Location (Area)
8.
ADDRESS
ZIP
TypgC nst.
Oc pancy
Sprinklered
❑Yes [:]No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5'
`/'�
Floor
ADDRESS
ZIP
Mai--7965
Upper
Floors
Garage Area
4�'jStora
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Un in. Basement
TYPEEW ❑ ALT. ❑ AWN. 11 RPL. El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
WORK (� BLD. ❑ PLMB. ❑ MECH. 1-1M.H. 1:1 POOL
CERTIFICATE
Req'd.
I Recd.
Not eq'd
�d
of EXEMPTION
DESCRIBE�OR
Enum. Dist.
Location (Area)
8.
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
to give authority to violate or cancel the provisions of any other state or local law re ting construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION
Plumbing
?
DATE OF APPLICATION/ SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
r•iammng
Fire Marshall
Co. Engineer
Utilities
Pla sminer
rr/f",ip
SPE IAL CONDITIONS: 4
d�f1i4 Y��
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES nNC VCAR FQnM nATC nC ISSI IANrc
Plan Check
SEPA
Mobile Home
Othq (Specify)
4 -,OTA L $
PERMIT
CNU PER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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