1982, 06-23 Permit: 82A-5281 Storage Bldg PLAN NUMBER APPLICATION/PERMITPERMIt (8/
SPOKANE COUNTY BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS '
1. _ 3c 4T" LEGAL DESCRIPTION - SEE ATTACHED 7, C 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ' ( F-
2. 13 ,. . -Te Y`s NoDi'r►oki,-) * f._7 (; Q Y.
OWNER PHONE
3. .,OE ' c rr-k 612.2.-- 4-7-i 'I os,5 2_ C7clo S ', * (; f
ADDRESS ZIP Actual Set Backs in Feet
C t.87,2)t> ¢TN 4:144kOt(c North (South SCE East S r (West 5 ji. /.
CONTRACTOR PHONE Size of Parcel Zone Classification r
4. bt'`''L:j e_e>%..19-t�+-�+C-Ccc>r,S 5-Y5-358`2- t41 30"'? e.._ - 1 0-2'
ADDRESS � �i..�3w�P��v
�y ZIP �Tyype Const. Occupancy Sprinklered 6 �i 7
C . t�sm- �'2-c' ae-,�dC `•.r) yvt_ I Oyes ❑No 0 Req'd. _.
DESIGNER PHONE luation Building Area in Sq. Ft.
5. 2-ca
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
5-2_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. — --
�//// No. Baths No. Stories No. Rooms No. of Dwellings
TYPEMr 0 ALT. 0 AD'N. 0 RPL. 0 MVE. l
7, OF ❑ OTHER - t
WORK If
BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not R�q'd.
of EXEMPTION V
DESCRIBE WORKEnum. Dist. Location (Area)
8. tc 4mc,<. .�z.ti X10 S�ca� (,2.�o) ..G� FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES -SCIC_ Public ❑Private 1� 4'1_02)
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 INSPECTIONS Plumbing
DATE OF APPLICATION +A' _ • SIGNATURE OF APPLICANy ' l'' �� /� .
_ _ _ _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: •
NAME DATE Plan Check
Env alth
L 1-1JJCP/•F 7 /L to ;f A0 4,, ,6 "--i .,..„.7"...i.„..., - SEPA
Planning / '7
Fire Marshall Mobile Home
u.
Co. Engineer Other(Specify)
Utilities LL
TOTAL $ "T( t90
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 6.i••;4 'Y.-$ 2 5 2'8. 1 z *4•Z 0 0 a F
9tic, c '9 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1 : ' E .\,5 A :DD 7.--- . a k B1 •.... . ' x
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Ill . 40 011
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