1981, 06-02 Permit: 81A-5365 Storage BldgPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
J NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
'e"
LEGAL DESCRIPTION - SEE ATTACHED
1. t.e5w
LOT
BLOCK
NUMBER/S d I d7 Z dL9
2. 1 1
2
ISUBDIVISIONPARCEL
13(L.A6 -joAi 5o11)S Anot-r1oN TP -5,9
'Cf2rt.)Tu� bQ4AAAQOS
OWNER
PHONE
WIAUr&Z D, 1 fiP-KS
4qZ4-2A%
3.
ADDRESS .fes
F. 1'?I
MD
ZIP
042
Actual Set Backs in Feet`
4b
iLtf„1'�
-%&North
South East ' West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
-UCi FiC- Coni'rZjV-TbR,S
5Z4-A;*N54
7 b 2sD
I RGR"ou2w-
4.
ADDR�ESS
ZIP
Type Const.
Occupancy
Sprinklered
1
ROA ItlD� g0k%Zlilc ATr-r. G -T
(
:99 1
#A - I I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5,
ADDRESS
Main Floor
Upper Floors Garage
Storage7P
12im
CHANGE OF USE FROM
TO
Area of Decks Finished Basement
Unfin. Basement
6.
TYPE (f� AD'N. 1:1 RPL. ALT. NEW MVE.
LL ❑❑ ❑
No. Baths
No. Stories No. Rooms
No. of Dwellings
7, OF El
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL
CERTIFICATE
Req'd.
Recd.
Noteq'd.
of EXEMPTION
DESCRIBE WORK
8. %uhTd s-G0e►c� 3iuLn1Jv,6. Q& sum
Enum. Dist,
Location (Area) FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF41
UTILITIES
�(�
Public El 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
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 Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS W SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. e /
Ct? / SEPA
Planrtffg
Fire Marshall Mobile Home
Co. Engineer Other (Specify)-
Utilities
Specify
Utilities
Plans Examiner
3wim Techni<
f1n
kt. 1 �7v4NiC 6`til 'R+..�
PERMIT IS NONTRANSFERABLE
TOTAL $
PERMIT r.Ulh36R
Siff--5-mss
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
5' 3 5
*,68.0 0aF
4-1
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