1980, 04-11 Permit: 80-3394 Pole BldgPLAN NUMEPR
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 //94 5'[J bl�c /%DE
LOT B SION
2. /o 49/s5/ow
OWNER
3. ✓.00,t 3.. W/4T.fiiv S
4.
BLOCK
5/
LEGALDESCRIPTION — SEE ATTACHED
P/ivf s
PHONE
`YZ8 -68s--
PARCEL NUMBER/S
c/o ?ck'
/65c/% d/s -o
Il'//steos/ f7ryrS
ADDRESS
2vro .WesO/cmc `CENTt'< iz.04
eetsPa*eFeu c.6.4$44
/A/ rr'r k'. rir/iv c
ZIP
99eoc
A 1p Set Backs in Feet/Syi
Nola. TAX' I South East {7'C' West /4/1
PHONE
9?»- `ter
Size of Parcel
9L 4 /oz
Zone Classification
AQ8/. Semens Am.
ADDRESS
E. /17fl Milielfekezc
ZIP
9.7 ZOC
Type Const.
Occupancy Sprinklered
Oyes 0No 0 Req'd.
5.
DESIGNER •
PHONE
Va ation
San
Building Area in Sq. Ft.
4/9 '4132'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
/53 i.
CHANGE OF USE FROM
6.
TO
. Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
µl NEW
BLD.
DESCRIBE WORK
8. Poen Heinvins
Jr VALUATIU^
9.Sbe-c.
O ALT.
O PLMB.
O AD N.
O MECH
O RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
/
No. Rooms
No. of Dwellings
'CERTIFICATE
of EXEMPTION
Req'd.
Reed.
NOt Req'd.
SOURCE
OF
UTILITIES
Enum. Dist.
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership �]i
Public 0 qi
Private
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 thy'
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION//� O SIGNATURE OF APPLICANT 1/4[J, t 1K1M1
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Buliding Technician
./// 80
tPw5 A154cHEC ¶ -Rrr(.Lan,c0
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
$ 54 r CO
t0
4°,E 339.
04 11-80
g 6479.
10
PERMIT NUMBER
SO -3394
*8600
600
02* *5600
*5.00 tn
339.38
04-11-80
g 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
014.-;, 1_ 3
DATE ISSUED
3,39:45' *5&03?5 -
PERMIT NO. TOTAL
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