1980, 03-31 Permit: 80-2887 Pole BldgPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
N. 1704 Woodruff N '�1I-2-
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
0
SUBDIVISION
pportunity Pt of B310 Wt of N 345 of Wt EXC
OWNER
Ted Riley
PHONE
926-6081
PARCEL NUMBER/S
N 100 ft. & EXC S 200 Ft.
Parcel # 08544-0383
ADDRESS
N. 1704 Woodruff
ZIP
Required Set Backs in Feet
North jig Southj9
East S
West
4.
5.
CONTRACTOR
Cook Bros.
PHONE
924-1557
Size of Parcel
100 x 162
Zone Classification
ADDRESS
Rt. #2 Box 853 B Otis Orchards
DESIGNER
ZIP
99027
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE
Valuation (Building Area in Sq. Ft.
$ 5380.00 864
ADDRESS
ZIP
DWL Area I Basement Area
Garage Area
st864
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Floors
No. Rooms
Rec. Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8 Pole bldg. steel skin
VALUATION
9. 5,380.00
Source
of
Utilities
Plan PA"
GAS
ELECTRIC
WATER
SEWER
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
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 /Yaw regulating construction or the
performance of construction.
DATE 3/31/80 SIGNATURE
DEPT.
SPECIAL APPROVALS
REQ'D. RECD.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
RR 1 '`�'�
DATE OFFICIAL
J trit-41 G%QL.
APPROVED FOR ISSUANCE
FEES COLLECTED
Single y$
Building // .f4 �6
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
ao
DATE
PERMIT NUMBER
March 31, 1980
U2* *5600
* 5600 N
* 56006
E *0.00 8
288.6$
03 -31 -80
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THISOBC.mpSAS;F,rIT. o I z * L O O a
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
(509) 924-1557
/ 'Tr
5 -44 -
44906 ty 1 /67i- alP
11315k.13 Vt. N
tc wYatxc .N. . f4041 3/4
xa
JOB
sired' k ry
SHEET NO w—/ iia U_I D6caLl Fr
CALCULATED BY
DATE
CHECKED BY DATE
SCALE 3/6: nil 1. GAR ASe.
rl I I
LJ)
Do dtuPP
,5÷
/442
4
7
511
sq
peen°, i Ate.
FORM 200 AvaRable from 5,c—E-73.5' iNC. Townsend, Mass 01470