1980, 10-22 Permit: 80B-2399 Pole BldgNUMBER ! 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 DRESS
LEGAL DESCRIPTION —SEE ATTACHED
LOT B O K SUBDIVISION PARCEL NUMBER/Sr3
�j W J
3. i4J-rti-o J 7 E G`. tll 07- _ GLt.r
A17DRESS ZIP ` Actual Set Backs in Feet
' �w & North South East cQ West
C RACTOR PHONE Size of Parcel Zone Classification
/f �,yy dU
9. OF UTILITIES Public 13 Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included G
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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 INSPECT S Plumbing
DATE OF APPLICATION 16-026--g SIGNATURE OF APPLICANT�'t '�""`� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
E Ith
e� D �a✓ SEPA
Planning
Fire Marshall- _7 Mobile Home
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Other (Specify) ,�
TOTAL - ,?-
WHEN MACHINE VALIDATED IN THIS SP
THIS BECOMES A PERMIT.
PERMIT NUMBER
so 15 ;z3
«. ,Lj
-
*2nGOt
1'0 2i—?G
s' 6.479,
I
Te inic?T -->h- PERMIT IS NONTRANSFERABLE I 1 04-'-2 :2 f_.8 Q' 2 7l Q. Q z+ * 2 Q. 0 0 d F
4' APDSS
ZIP
pe Const.
Occupancy
Sprinklered
TXation
❑Yes ❑No El Req'd.
DESIGNER
PHONE
�J
Buildin Area in Sq. Ft.
5'
ADDRESS
ZIP
Mai�FI r U
Upper
Floors
Garage Area
Storage
��
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Baseme
TYPE NEW ElALT.
ElAD'N. 1-1 RPL.
1-1MVE.
No. Baths
No. Stories
No. Rooms
No.
No. of Dwel
7, OF
ElOTHER
J#WORK
04
CERTIFICATE
Req'd.
Not Ri
BLD. 1-1PLMB. 1:1MECH. ❑ M.H. 11 POOL
of EXEMPTION
DESCRIBE WORK 1
O I 8
Enum. Dist.
Location (Area)
FEES COLLECTED
$ 11 'J�/
—
>4
VALUATION
I SOURCE
G
ELECTR
WATER
SEWERUSE
Ownership
CODE
/f �,yy dU
9. OF UTILITIES Public 13 Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included G
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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 INSPECT S Plumbing
DATE OF APPLICATION 16-026--g SIGNATURE OF APPLICANT�'t '�""`� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
E Ith
e� D �a✓ SEPA
Planning
Fire Marshall- _7 Mobile Home
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Other (Specify) ,�
TOTAL - ,?-
WHEN MACHINE VALIDATED IN THIS SP
THIS BECOMES A PERMIT.
PERMIT NUMBER
so 15 ;z3
«. ,Lj
-
*2nGOt
1'0 2i—?G
s' 6.479,
I
Te inic?T -->h- PERMIT IS NONTRANSFERABLE I 1 04-'-2 :2 f_.8 Q' 2 7l Q. Q z+ * 2 Q. 0 0 d F
MANSON STEEL BUILDINGS
E. 10918 BROADWAY • SPOKANE, WA 99206 1 (508) 828-2276
RULES:
1 Bldg. must be 5' from property line
2 Bldg. must be 10' from drain field
3 Bldg. must be 25' from property line
if property line is next to a street
(q) Bldg. must be 10' from all existing bldgs.
a
HOMEOWNER: EO "FaX hJ
ADDRESS;- D -1iT. - t�
L. s-�?2: � L /�
PARCEL #�%`f�
LEGAL:
NORTH (Road)
SOUTH (Road) T
1. Draw in all existing buildings.
2. Draw in new bldg. & how many feet it is from existing bldgs, and property lines.
3. Name all roads next to property.
q. Draw in drain field and whether you are on a septic tank or sewage system.
5. :1ize of property.
..
19
M