1980, 03-17 Permit: 80-2273 Pole Bldg ',PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER I
SPOKANE COUNTY — BUILDING CODES DEPARTMENT SD- 2,Z,73
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675 DATE March 12, 1980
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 4 COPIES 0 2 * * 5 0 0 0
JOB ADDRESS * 5 0.0 0 tr.;
1. E. 11904 Sixth Avenue LEGAL DESCRIPTION - SEE ATTACHED
* 50,006
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. Dart of B 203 W 125' N 3 of W t ex N 20' Op rortunity Parcel # 21541-2203 E * 0.0 0 cn
OWNER PHONE
3. Trevor Blount 926-1862 2 1 3. 2 2
ADDRESS ZIP Required Set Backs in Feet
E. 11904 Sixth Avenue ( 167 0 0 3- 1 2-8 0
North South East � IWest
CONTRACTOR PHONE Size of Parcel Zone Classificati n c 6 4 7 9,
.
Cook Bros. Steel Bldgs. 924-1557 125x300 ,R,I6 /' iJI5
4' ADDRESS ZIP Type Const. Occupancy Spr' klered
Rt. #2 Box 853 B Otis Orchards, 99027 Pole bld • Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation(,o Building Area in Sq. Ft.
$5,000.00 24 x 36 (864)
5. ADDRESS ZIP DWL Area Basement Area Garage Area Storage
864
CHANGE OF USE FROM TO Split Entry Split Level Rancher
6.
No. Baths No. Floors No. Rooms Rec. Room
TYPE lig NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK 11 BLD. ❑ PLMB. CIMECH: ElM.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE W IRKf
8. Pole bldg. Steel skin l 2-4-x Salo, FEES COLLECTED
VALUATION Source GAS ELECTRIC WATER SEW R
$ of ✓ C'M M ��
5
9. ,400 00 Utilities `� 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. ge--4-E-----}
Plumbing
DATE March 12, 1980 SIGNATURE -� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
DEPT. REQ'D. REC'D. 1.1 i, lS 00 fl LlJ I "191A1 A-II Plan Check
Env.Health r" r.
Z- SEPA
,�fi, v
Planning HAI, -1Q 6° rl /1 UJI I a_
Mobile Home cn
Fire Marshall
Co. Engineer Other (Specify)
utilitiesOG
TOTAL $ .So
Zone Clearance
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist „1--/ 7_O d THISIU .)-IuIE,S A 1MIT. * C i -
DATE OFFICIAL �i Q /,, (,dj ``��
./� 11 !/ �d �`
APPROVED FOR ISSUANCE
COOK BROTHERS CONTRACTING JOBTWAVOA 3-I L() _uti
Route 2 Box 853 B SHEET NOL; 1/9c .97— OF
OTIS ORCHARDS, WA 99027
(509) 924-1557 CALCULATED BY DATE
CHECKED BY DATE
SCALE
1_ _...
'17% .
Q
CR w
I I I I 111* Ni
•
I,.IA/
4 301
0,
-f a u_s 3
1/1 3 e tri
30
is-
-4
I/9a E6�`
FORM 204 Available from( /iNC.Townsend,Mass 01470
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