1981, 05-01 Permit: 81A-4232 Accessory Bldg (PLAN NUMBER t 1 L ..
/(/ APPLICATION/PERMIT PERMIT NUM- (— �1,L
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
C....„/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
e
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB.ADDRESsLEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 23.0 0
1. /22,07 - 1/��Z �4rrEN�.� * 23. 0 0 rn
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 22513 -Osis-8
2. 7 6 gam ev Af2,6 ,)/59?/! ,9,046/rim/. L * 2 3. 0 0
OWR PHONE
3, R. S'&imi,dr 424/s38,2 A * 0, 00
ADDRESS �//�,/` 1� ZIP�G� Actual Set
y,Backs in Feet 4 2 1.7 z
A . i2 07 —/1' "' /Z reit g % / 2 �4 North 172 (South East ' 'West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 5 0 1 -8 1
4. b /53 ' X 1(�D' Ajc. / d I& ° 6 4 7 9,
ADDRESSZIP Ty Const. Occupancy Spri lered z
�� ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE V- atim' T Building Area in Sq Ft
c
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
N W 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7, OF 0 OTHER -
WORK D. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. eq'd.
1 of EXEMPTION
DESCRIBE WORK / / Enum.Dist. Location (Area) '
8. Oa T u IL D iwe (` 1 2 v1//U " 1\vy, FEES COLLECTED
VALUATgN SOURCE GAS ELECTRIC WATER "i' SEWER Ownership ,�//USE CODE
OF
9. UTILITIES 6, Public ❑Private I(� 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.�oSEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION/// i / SIGNATURE OF APPLICA 7' t�-.�—/ _ / Mech.
SPECIAL APPROVAL SPECIAL CONDITIONS:
NAME DATE Plan Check
En '
5/i SEPA n
PL. g CD
Mobile Home "a
Fire Marshall
te_
Co. Engineer Other(Specify)
U6* 4610
Utilities
TOTAL $
Planspziiner I�
y� �n1 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
'0 5'1 CY E . . rl 4i 212•g, D
Bui 'n ech clan PERMIT IS NONTRANSFERABLE *2-3.0 Q a F
,
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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