1980, 08-12 Permit: 80-8427 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
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT 15UBDI415ION PARCEL NUMBER/S
OWNER PHONE
. — 9
e,.4. TbS / ��P-PV0lit/v7 jV5A/t./�r�3yt/
3.
AbDRESS 1 ZIP Actual Set Backs in Feet
South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
4' AD RESSZIP Type Const. Occupancy Sprinklered
❑Yes [:]No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
"L kc
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Ro ms No. of Dwellings
TYPE [� NEW El ALT. El AD'N. ❑ RPL. 1:1 MVE,
% OF WORK ElBLD. ❑ PLMB. ❑ MECH. ElM.H. El POOL 13 OTHER CERTIFICATE Req'd. I Rec'd. Not Req'd.
of EXEMPTION
8. DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public []Private9. 1UTILITIES
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 r
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 regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS e Plumbing
DATE OF APPLICATION __ /:` SIGNATl1RF (7F APPI (CANT iiG1�-2r``�'a , _ del , 'C L x Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
IV. jokI Ith
re Marshall
). Engineer
tilities
ans Examiner
_PA Checklist
Plan Check
SEPA
Mobile Home
Other (Specify)
.'ERNii 1 NUMBER
02* *3F 00
*'3F00
84262
08-121-80
-9 6 4 7 `9.
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
g Technician( PERMIT IS NONTRANSFERABLE8 427 13 3 8. Q 0 01L
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