HomeMy WebLinkAbout1980, 06-27 Permit: 80-6414 Pole Bldg PLAN NUMBER I APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT jW--
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES C 2 * * 1 1 0.0 0
JOB ADDRESS * 1 1 0 0 LEGAL DESCRIPTION - SEE ATTACHED
1. LOT 41K.
SUBDIVISION •J PARCEL NUMBER/S 0'j I' i'4,r /V * 1 1 0.0 0 c�
OCK
`/ r�
2. .�' �7� 07 du x/ Jl _ 6;0,44
,t ;moil c,
OWNER PHONE / 4 f Welk.-6 - 0
3. LLKee ,2 079i‘ ' 9 �'�i 6 11. 1.3
ADDRESS
/� ZIP Actual Set Backs in Feet �O� 0 6- 2 7- 0
f , .
/ �r� s//7/ North (South 1�0 East IWest
CONTRACTOR / PHONE Size of P Zone Classification n 6 4 7 9,
zooms 7)4-- 155 7 , IAik r
4. AD RHES Type Const. Occupancy Sprinklered
2. I 'z �1zcl p.pj, I�903—'7 Elves ❑No El Req'd.
DESIGNER ( '� PHONE Valuation Building Area in Sq. Ft.
/ 4// a 5'o° & c . ®
5' ADDRESS ZIP Main Flobr Upper Floors Garage Area Storage —
_. 336,0
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6. _ — —
TYPE !�INo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. AD'N. 0 RPL. 0 MVE.
7. OF [U� ❑ OTHER
WORK LI QLD. 0 PLMB. ❑ MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Reid.
of EXEMPTION
DESCRIBE WORKEnum. Dist. Location (Area)
a 171 j .-4‘ ,,t,
(-2-0 X G2/L) (/2) A1:710 �, °KisFEES COLLECTED
VALUATION SOURCE GAS ELEC RIC WATER SEWER Ownership `/USE CODE
OF
9, UTILITIES Public ❑Private >l� Single $
I here y certify that I have read and examined this application and have read the "NOTICE" provisions included i
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building ! 0 _
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 _ f o SIGNATURE OF APPLICANT ' ��`'� 'L &� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE r " I) Plan Check
Env. Health " -� I� per{ /'�� �j��.
- '1K I I r (kr-0 - I ) SEPA c
Planning
1kL 5, or Kms- — u
Fire Marshall Mobile Home
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
• g Tec nici n
PERMIT IS NONTRANSFERABLE 2 7)--'8 '0 L 4 �' 1 1 d. —
(„S "
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
I
0 X g4- Ardrroo�
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