1981, 08-10 Permit: 81A-7906 Pole Bldg PLAN NUMBER . APPLICATION/PERMIT PERMIT NUMBER
riAo SPOKANE COUNTY — BUILDING CODES DEPARTMENT
Slot -790c,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E 12807 Sixth Avenue LEGAL DESCRIPTION - SEE ATTACHED 0 2 * * 3 8 0 0
LOT BLOCK S BDIVISIONPARCEL NUMBER/S N
2. /s6 el, /, s.z,2s I. E�o_.,1c.�2S �a/1 .? .5- .q.,2._ /o/ * 3 8. o o Y
OWNER PHONE7 * 38,OO6
3 REX HARRISON 922-8384 A * 0. 0 0
ADDRESS ZIP Actual Set Backs in Feet
SAME North Q1// !South ,-;.5 /5 East /7 'West �✓ 7 9 0,5 2
CONTRACTOR PHONE Size of Parcel Zone Classification
Cook Bros. Steel Bldgs. 924-1557 //e` - '4: c 060 p,1L �Li t, . 0 8- 1 0=8 1
4' ADDRESS ZIP Typ Const. Occupancy Sprinklered
Rt. #2 Box 853 B Otis Orchards, 99027 (� !"!-_� ❑Yes ❑No ❑ Req'd. 6 4 7 9.
DESIGNER PHONE Valuationc�, Building Area in Sq. Ft.
Z— e-
&' 'G-, l-' )
5. ADDRESS ZIP Main Floes Upper Floors Garage Area I Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. -----
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
X] NEW ❑ ALT. 0 AD'N. 0 RPL. El MVE.
7. OF 0 OTHER
rI Req'd. Rec'd. Not Rd.
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. LI POOL CERTIFICATE L
of EXEMPTION
DESCRIBE WORKEnum. Dist. Location (Area) T
8. Pole bldg. C Slab already there ; I FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER �S/EWER Ownership /USE CODE
OF
9. UTILITIES 1-c Public 0 Private Ig
A. , 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 INSPECT! S Plumbing
DATE OF APPLICATION 8/10/81 SIGNATURE OF APPLICAN 6 . _} Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
tI0l t 2 - SEPA s
Planning e
C)
Mobile Home w
Fire Marshall -J
iy
Co ngineer Other(Specify)
f K 6�, Io
Utilities '� 0-y
TOTAL $ `-2 G
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
7.----7--')InT cfan h PERMIT IS NONTRANSFERABLE I0'''8 i l'Q l,yl8��111 7�9 Q 6 z * 30.00 a H —
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL I
j
JOB R,. x /�AFE I SON
COOK BROTHERS CONTRACTING /�
Route 2 Box 853 B SHEET NO. E / .A 7 ' OFOP— lr ��•
�U
OTIS ORCHARDS, WA 99027 8•X ��'X 9
(509) 924-1557 CALCULATED BY DATE
CHECKED BY DATE
SCALE
A
14l
5,00
yam'
-t-?s '--� p�„s '-�O' �ft
L.
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IID
, 807 '
FORM 204 Available from( EBSievO.Townsend.Mass 01470