1982, 08-03 Permit: 82A-6750 Pole Bldg PLAN NUMBER rsJMBtna
APPLICATION/PERMIT PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `J ~���
e...,„ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB A DRESS
1 4' LEGAL DESCRIPTION - SEE ATTACHED C 2 * * 6 1.0 0
LOT ~LOCK S BDIVI ON� 1 PARCEL NUMBER/S ~ * 6 1.0 0 L',
2. , g iaii..l 5 `fid /F-` A * CCC 8
OWNER 't PHONE ���` �
3. P..) r 4He/Z 660. 9-.
PSD SS IP Actual Set Backs in Feet
`Z5 /9.;7/3 .. f' 4,44.....g.44.47,....-; � :.x?!—:/ North g (South East,JLC EQ 0 7-3 0`-&2
West
C9D1TRACTOR PHONE Size of Parcel Zone Classification g 6.L.7 9.
4. .- ' -..� ?,-,ii-1-S----5-7 ,96 AC, D
ADDRESS �{/1_ �/_ ,,G/{y ZIP _Type Const. Occupancy Sprinklered
1 S-(r)t .f . 3 14-► 97G)..2 7 .-
,\L-10 M ❑Yes 0 N ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
4 1-26 d
5' •
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
7..1-OC) — —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE. I. I
7, OF 0 OTHER -
WORK ILD. ❑ PLMB. ❑ MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION !f/
DESCRIBE WORK/9 p� Enum.Dist. 1Location (Area) FEES COLLECTED
8.
441
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership //USE CODE
OF
9. UTILITIES `-j�7C''+ C Public 0 Private L�1' 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 "('� e.et
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_77—�I ` 'r`a SIGNATURE OF APPLICANT .'L eit,,ts Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. � l�`-`alth
/ /L/LC S� SEPA c
Planning c
c
Fire Marshall . Mobile Home L
L
Co. Engineer Other(Specify)
I
Utilities
TOTAL $(s?t ,CO
Plans Examiner
E!)/,)IF-1 L-6- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Te hnicia PERMIT IS NONTRANSFERABLE . t —
L9c0 c
Gf� C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERM( O. 0 z
• ./ ./
COOK BROTHERS CONTRACTING
Route 2 Box 853 B SHEET NO. OF
OTIS ORCHARDS, WA 99027
(509) 924-1557 CALCULATED BY DATE
CHECKED BY DATE
SCALE
A A
1‘'
ORO,-
kobc5t • 401
V
A
A..
12_01
E 1 (1 g. 13 SpRtiguc