1981, 03-11 Permit: 81A-2339 Adition Storage BldgALAN NUMBER APPLICATION/ PERMITPt' Afl id UMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
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APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
�
Main Floor
U
Upper Floors
LEGAL DESCRIPTION - SEE ATTACHED
to
+ ,
LOT
BLOCKPARCEL
CHANGE OF USE FROM
TO
Area of Decks
NUMBER/S rr t
2.
' g ���. �_ �= cv
OWNER
TYPE ❑ NEW ❑ ALT. A AWN. ❑ RPL. ❑ MVE.
No. Baths
PHONE
Ai 1126— ^ -i 5
No. of Dwelling
3. - -
�2/ e
ADDRESS
ZIP
Actual Set Backs in Feet
n
r
Not Req'd
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
North / South a .� East West
CONTRACTOR
k
+'\
PHONE
Size of Parcel
Zone Classification
Ownership USE CODE
OF
yy�t LI
1:ie UTILITIES
Public ❑ Private
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 this r r?
governing Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
4. A DRESS
performance of construction... SEE REVERSE SIDE FOR REQUIRED INSPECTIO
ZIP
The Const. Occupancy
Sprinklered
M
Mech.
—1
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
V Illation
Building Area in Sq Ft
5'
,J�
w 1
ADDRESS
ZIP
Main Floor
U
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE ❑ NEW ❑ ALT. A AWN. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwelling
7. OF El OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
k
+'\
DESCRIBE WORK
8
Enum. Dist. Location (Area)
FEES COLLECTED
J;- A UATIO�' SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
yy�t LI
1:ie UTILITIES
Public ❑ Private
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 this r r?
governing 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 INSPECTIO
Plumbing
nATF nF APPI Ir'ATIONI`� -'cam —:S h' CIrNIATI IDC nC ADDI lr'An T
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Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
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Fire Marshall
Co. E gineer
Utilities
4,1,1 a n s Ex
nq Te nlcl,�n PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
0'%* *5C 00
*5C OGS
233. Z=
03 11-1
6,475
Mobile Home
Oth r (S ecify)
TOTAL
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 3A `Z
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