1981, 05-05 Permit: 81A-4313 Pole Bldg PLAN NUMBER
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PERMIT NUMBtk
�; vll.=— APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
.;'.'A e-k-?,,r,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
(J APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
,./7/„.5-- — S,X r LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 3 g 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 0 0 r
2. ,"-)c-'." ;L (T✓-Zt}.�, irk' 2EEf' L
* 380C��
OWNER -7, PHONE
3. G-✓Z. ) ../..)/: ..): ?V-.. _> .--7,2.� * 0 C 0 0
ADDRESS ZIP Actual Set/ Backs in Feet
.S/i/k!f North L-C; 'South 7:--)— East Iwest %';r 4 2 8. 6 g.
CON RACTOR �1 PHONE Size of Parcel Zo a Classification
jI 03-044' 81
4. ` e‘-`,e v_ fe_s j5?/z�.5 //5_ 7,c-,k t_:�s-: J-.� 2cLur UV_Ac,
ADDRESSZIP Type Const. Occupancy Sprinklered o 6, 4 7 9
/ -, 3.7--:::,17
/ti -r-7-._,1 fl��-,/,;1-)7/- c'/75 C`/F,`(ii/ 7/f I)-S ;�lgit Al-t ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valua ion Building Area in Sq. Ft.
5. Zf8SO 7.2e1
ADDRESS . ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE )— NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. _ / / r
7, OF ❑ OTHER
WORK , BLD. ❑ PLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) '
1 I FEES COLLECTED
8. .."57 L',.,71(_ �,e if z , ,-->eJ
I
di. VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
L OFr1L— Public ❑Private 0
9 U I 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 *5e• *.'
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
,//� i A7DATE OF APPLICATION ../: : 1 SIGNATURE OF APPLICANT /`,! (' /24-f«! d/" .-r Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: AAl1�,, ,
NAME DATE IVOI IIJYYLL (O�&T ' eez-i Plan Check
En . ealth //�',xt5-1 brut. p)C 2
I l _ CL'T rAit4 ec_vscart r ttaid s Pr. SEPA ,
Planning O
Mobile Home '-'-'
Fire Marshall —.1
Co. Engineer Other(Specify)
Wb'C R. aO 'G`X:tSi
Utilities 4 fF''
TOTAL $320•ftXJ
Plans Examiner
No-r Red I). ?,....4;K...S coFIC.6- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
i ,r
Buildin Technician PERMIT IS NONTRANSFERABLE ',�j 1i. 571'8.1t a O'_l, -
r z r" IS ,.E' 4 3.13 z *3 0 0 l-.
sir_-� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
.w:
COOK BROTHERS CONTRACTING JOB 'S °L� �L i-- 2 X�OX /Q'
Route 2 Box 853 B 1l7/.i - 7e4 ''-''C"„:3-4/
SHEET NO. OF - "'``r
OTIS ORCHARDS, WA 99027
(509) 924-1557 CALCULATED BY DATE
CHECKED BY DATE
SCALE
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FORM 204 Available from 7ArEBS/INC.Townsend,Mass 01470