1982, 05-11 Permit: 82A-3658 Storage BldgPLAN NUMBER
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.
2
JOB ADDRESS
LOT
CJI'
LOT BLOCK
V 01\I
SUBDIVI ON
LEGAL DESCRIPTION - SEE ATTACHED
3.
5.
OWNS , 3trr
ADD�ESS 04-16 [SC
CONyRPaCTOR J
AV's N 12-30 risdattla
1K(
DESIGNER It�•Ul
PHONE
492S '15/6e,
'V-(Ifri
ZIP
P Y
WIPP
PARCEL NUMBER/5
544 d-- 9077
Com. oa C rO PLPo�i
Actual Set Backs in Feet I
North 1 J (South East (West
SiI V P r eC
ADDRESS
Z.eiYyp
o.
PHONE
ZIP
Tit? Tonst.
Zo(�ee Classification
.4 upancy
Y�
Sprinklered
OYes DNo 0 Redid.
Main Floor
Building Area In Sq.
Upper Floors Garage Area
Storage
25�
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unf in. Basement
ti
G�/IW 0 ALT. 0 AD N. 0 RPL. ❑ MVE.
I OLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Nottyid
8.
9.
DESCRIBE WORK
%I c�I ✓L;ILrfJC� (C �14
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATE
Enum. Dist.
Location (Area)
SEWER
Ownership
Public 0 Private
/SE 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
J
DATE OF APPLICATIONS2,— 5g,Z
SIGNATURE OF APPLICAN
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
ning
Fire Marshall
Co. Engineer
Utilities
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
FEES COLLECTED'
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 3
PERMIT�.NSl:y1?h .R
J24 3o f
02* *3200
*3200 1
*32006
A *000 8
3'60.12
05=10-82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'00 1114.!8112
3'6.5:89
PERMIT NO.
*320OaH -
TOTAL
.44
1
tic 5
\--Tor' 9- 7.°
0
q s)Y4- L"i'r -
oF cr. 1+01 4.
OF s. i 30'
L
A
/-99 0
• 303 of W. 673 o? 94 4-
51.f of 7- r21 -c 6-90 .
a-A.c. (rJ . 9Q' oIG6„• I go'