HomeMy WebLinkAbout1981, 05-01 Permit: 81A-4198 Storage BldgPLAN NUMBER
S//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
JOB ADDRESS
11. So, 4512-,
LOT
2.
p0,00, D�
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
SUBDIVISION
PC/4,44 P/NI&S 4)06;t7;;;A)
OWNER /
3 CoMPIyt1 H'1JV4
ADDRESS
So ¢3/ 2- PO/&OZA
PHONE
g25 -z e7
PARCEL NUMBER/S
32544 — /106 —2_
tDIL
4.
CONTRACTOR
6FLF
ADDRESS
PHONE
Actual Set Backs in Feet 7 ,
North 1 'South 7 /[jam
East /-7V 'West 6,0
Zone Classification
rArnicy
Size of Parcel
itZX4z-
ZIP
Type Const.
Occupancy
A.loNe-
Sprinklered
❑Yes .No ❑ Req'd.
5.
DESIGNER
,AGF
ADDRESS
PHONE
Valuation Building Area in Sq. Ft.
ZIP
Main Floor
Upper I ors 1 Garage Brea
Storage
6.
CHGE OF U E FROM
cE
TY ANEW
7. OF
WORK ❑ BLD.
DESCRIBE WORM
2 PLC K2 r PA1
8. r --44n4
VALUATION
9./5W
TO
❑ ALT. ❑
❑ PLMB. ❑
SOURCE
OF
UTILITIES
GAS
/G/DNe
AD N. 0 RPL.
MECH. 0 M.H.
&471) /past /
❑ MVE.
O POOL
ccriti7.-:% se:46
ELECTRIC
4/ave
Area ofpecks
Finished Basement
Unfin._Basement
0 OTHER
WATER
r2oA/b
S�WER
No. ths
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
ILocation (Area)
Ownership
Public ❑ Private X
USE CODE
No. Rooms
Req'd.
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 INSPECTIOI
DATE OF APPLICATION 4_ ; /'9 J SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En ealth
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
801 ReQ1O
SEPA Checklist
Bu din echnician
2S el') per FII / S 111 az 6N
(/ F' -1—t4 -4`T7 v,\) B (-' C-Rhmsxr Isco U4 - • �K
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMI NUM'eFR
- 1,?'
* *25.00
0
*2500,
*000 5
403.0
04-2°-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4119184 *215.0021.p -
TOTAL ,
PERMIT NO.
C� 3
w
—