1982, 04-14 Permit: 82A-2793 Storage BldgPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY' BUILDING CODES DEPARTMENT
/171 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 '
t,
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�� �I�� LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK UBDIVISIO
2. T. 1 6 I LA j YvC-, A 0,M 'Su Y,�
OWNER PHONE
3. EP3S I N
ADDRESS ZIP
CONTRACTOR PHONE
T�tY1/�
4. ADDRESS ZIP
S AM
DESIGNER PHONE
5. ADDRESS ZIP
CHANGE OF USE FROM TO
6.
1� 1-05)
Actual Set Backs in Feet
Env, filth
Jorth J South
2 1
East West J
iize of Parcel
Zone Classification
)
1oz—ox 1�.3
k't•
Type Const.
Occupancy
Sprinklered
CERTIFICATE
-
❑Yes ❑No ❑ Req'd.
/dLuation .92c—)
Building Area in Sq. Ft.
V
Main Floor
I Upper Floors
Garage Area
Storage
DESCt-;BE WORK
8. C.71V(LIi�IZf �ILia tf�%6 W L C ILixy6)
Enum. Dist.
Location (Area)
Area of Decks
Finished Basement
Unfin. Baseme
GAS
ELECTRIC
WATER
SEWER
No Baths No Stories
No Rooms No. of Dwel
TYPEVl/NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Env, filth
J
7 XY
Planring
7 11 OTHER
Co. Engineer
Utilities
WORK L� BLD. ❑ PLMB. 11MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Rep'd
of EXEMPTION
DESCt-;BE WORK
8. C.71V(LIi�IZf �ILia tf�%6 W L C ILixy6)
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
UTILOITIES
li::
Public ❑ Private
Single $
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
Building Z
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 la lating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT NS
DATE OF APPLICATIONO1 SIGNATURE OF APPLICANT /1��716ne
Plumbing
Mech.
SPECIAL APPROVALS
NAME DATE
Env, filth
J
7 XY
Planring
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
MOT �r�1EKi )
SEPA Checklist
B ding Technician.
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
-
TOTAL $ :)a-
PERMI C NUMB R
sM - .2,�
'7
647c
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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Building
Service
1 L715,
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