2004, 04-29 Permit App: BLD-04-04218 Pole Bldg 04/29/04 07:40 $509 927 4062 SPO.STRUCTURES
i PROJECT APPLICATION WORK SHEET
SPOKANE COUNTY DIVISION OF BUILDING&CODE ENFORCEMENT
1026 WEST BROADWAY AVENUE t
iditi SPOKANE,WA 99260
509-477-3675 oil
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SPECIFIC SITE INFORMATION
street Address: l0 5'7 i tr . `'?f'4 6 po(64.1_, a t.4.4,4 9121 i
Assessors Tax Parcel Number(s): /3 s 241 3 01(O
Legal Description:
Project Description: POST F7,721-4.1.e.- Bld -
sp Building Permit 0 Change in Use 0 Grading 0 Manufactured Home Permit
0 Relocation 0 Sign 0 Tenant(New/Change) 0 Other
Department Use Only " . •
Water Disaicc/Pur.eroe 'Sher Diittiet/Pur. yot Ron4 width • Setbacks '. .
Front: Rear
School District Fire District Zoning
Left Right:
OWNER/APPLICANT INFORMATION
EI lxdfm/.Jw sbiudd be.vn/aied rrr arrllsl{thii prq(e,?
Ili nee Ph..... 53S-6,(4'18 g„rl'tieanr 1>„„„.: 927-0655
LVA `t 8 ' 'kF1.: Spokane Structures. Incl'=a� A77-4O62
Mailing Ad firers: Mail:nk AJJre«:
&51q E . c1.144-, 510 N. Mullan Rd.
cin•,Stare,Zip city,Stare,Zip
L S104He (eiA 99212--• Spokane, WA 99206
Poneh
r Kum,:
i(:onnacrer 927-0655 0.,rehitceVl:ntinccr
Spokane Structures, Inc 927 4062 I'as
Mailing address hlailing aJJro,
510 N. Mullan Rd.
Cite,Star Zip ran,State/.0
Spokane, WA 99206
\C'A State Cuntractnr hcen.c C Contact name:
PROJECT INFORMATION
Building Information
Building hclglu cu peak #of str,rius Nlain dour N.Cr. UnfinishcJ basemen(ry.Ct.
Uimcrolork: r 'rota!Imbrtablc a'pacc 24a floor ay.ft. hinishcJ bticmcnt sq.tr.
,2c1K 3( Z t2 —
Occupancy grtrup Corm n+erit,n+rpt Clang,.sy.ft. peck sy,(t
_Post Frame
Cote of pati cr i liar source(ckctric.los.etc,)
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APR 29 2004 08:41 509 927 4062 PAGE.02
04/29/04 07:41 $509 927 4062 SPO.STRUCTURES 003/00.4___
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. obtaining a buOding permit and is a true and
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— ' ' I Signed;,1.4.11 !LIACS 178,de -...441.64. "_
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APR 29 2004 08:4i
509 927 4062 PAGE.03