1980, 10-02 Permit: 80B-1277 Pole Bldg PLAN NUMBER APPLICATION/PERMIT "LIMIT NUMBER
BO
/0�2/ HO SPOKANE COUNTY — BUILDING CODES DEPARTMENT ' 1;2,77
VNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Ili-
JOB
JOB ADDRESS * ' f, c(v,
1 / f 1 V .4. . f LEGAL DESCRIPTION — SEE ATTACHED
c., O
LOT BLOCK SUBDIVISION PARCEL NUMBER/S i9t"'St,2 /le E
2. (? 79 U �..,t. !-.x- rc 7 * t 6.5QY.
OWNER 7 y ,P +ONE �- W CJc2�,Qe--
3. p-c.� 7.?e-as-o ae.....4-. ..., - /....r- * Q, Q i
ADDRESSZII Actual Set Backs in Feet42., ,
P LZ
Z / �- 4 1�0/ 6 North (45- ISouth .3 East4' (West•
C TRACTOR PHONE Size of Parcel Zone Classificatio I 0-01 -C Q
A .t�.�.ri% 1� rI7lx--7/.2.t.2°?er:‘ 2 l A hzo l � 7- - I1t4 ' nr,A /D�REESSS 9 pp_e�JC�onst. Occupancy Sprinklered �" 'i / / / r am-"'` ❑Yes ❑No 0 Req'd.
5.
DESIGNER PHONE Va uatir s p Buildingin Sq. Ft.
ADDRESS ZIP Main
lFloor Ql�Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. ,_
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. l7, OF ❑ OTHER
WORKtIEW
LD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not q'd.
of EXEMPTION
8 DESCRIBE O/
WO02 K
�o9-4645
w)
Enum. Dist. (Location (Area) FEES COLLECTED
VALUATION GAS�LECTRIC �WATER SEWER l
Ownership USE CODE
OF
9. UTILITIES ...-111(..,
'G Public ❑Private 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
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 INSPECTIONPlumbing
DATE OF APPLICATION /� 'i,G P SIGNATURE OF APPLICANT_'`i./.. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
J
Env. _ h 4yu� ` o// SEPA y.
Planning d
O
c.>
Fire Marshall Mobile Home w
J
U-
Co. Engineer • Other (Specify)
Utilities
TOTAL $
Plans llans Examiner O
l� ,C /? //�''?hA) WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Btu gNTech• PERMIT IS NONTRANSFERABLE fl 2,' .�, n o -
`) 3 � r. 7. # 26.'50 ° �•
V PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
A►
BRANSON STEEL BUILDINGS
E. 10919 BROADWAY • SPOKANE,WA 99206 1 (509)928--2276
RULES: HOMEOWNER: /..e..... 20-1,-) �3/�G,��'�..-
f1 Bldg, must be 5' from property line ADDRESS: ,17) j/T 9 .(cYP"440(4--"
2 Bldg. must be 10' from drain field.
3 Bldg. must be 25' from property line PARCEL 5 _�y. cry -- /41. '6
if property line is next to a street LEGAL: 6 � :5C - e ,.
(4) Bldg. must be 10' from all existing bldgs. C V, ;
Ua-c.Q�
NORTH (Road) 44# 5?ikid
., 1"
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¢
01
1 G
41-,
14- /- 2-° 4p* 4. r r`i s~
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:SOUTH (Road) .1 --A-. ',i
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1. Draw in all existing buildings.
2. Draw in new bldg. & how many feet it is from existing bldgs. and property linea. t .
3. Name all roads next to property.
4. Draw in drain field and whether you are, on a septic tank or sewage system.
5. Size of property.