1982, 10-29 Permit: 82B-386 Storage 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 3 COPIES
1.
2.
JOB ADDRESS
(Ni ' 130 3 ti4 e'c
LOT SUBDIVISION
CAINJP.o c s -v
BLOCK
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3 G►�w 2 s
ADDRESS
'NI •l .adS iii- C> 02- L.-1= fr
PHONE
64-20
PARCEL NUMBER/5
i
754-7-
-
c(�
ZIP
Actual Set Backs in Feet
North 'South �J
East (West ►G�
4.
CONTRACTOR
a cc, Rs
ADDRESS
PHONE
C(Z4-l5T 7
Size of Parcel
Zone Classification
R Z Sok a -5 -
ZIP
Type Const.
Occupancy
Sprinklered
Eyes ❑No ❑ Req'd.
DESIGNER
5.ADDRESS
PHONE
Valuation`I•������-
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
KNEW ❑ ALT.
YJ BLD. ❑ PLMB.
D AD'N.
D MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
1
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8.
VALUATION
9.
-3.. t—at wjQ
WATE R
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
ILocation (Area)
SEWE R
Ownership �/
Public CI Private IL+l
USE CODE
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 law regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATIO/ !l
N / ()rX SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env., Health
Planning
L Lw
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Noi1ZEGi•
SEPA Checklist
Building Technician
QNrtLZ
A k;',1
4
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building ' i'7
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
Ka 3S
02*
A
* 5400
* 54006
*000
3852
1029-82
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10'-,29-82
DATE ISSUED
38.62 *5400°I_ -
PERMIT NO. TOTAL
L
27^
COOK BROTHERS CONTRACTING
Route 2 Box 853 8
OTIS ORCHARDS. WA 99027
(509) 924-1557
JDB Charles. R d?ore.7er
SHEET NO Pt- 1.3 a3 wood 2 u.Fr &J
CALCULATED BV_/014- 64010 DATE
CHECKED BY
SCALE
DATE
1,c47 Derca.; PTic.N.
m;ss;.0N Add
r7s �-aeras
3'
_ 99'
T7
c r
-35"
/45 '
ORM 204
s 01.70