1981, 02-13 Permit: 81A-1426 Utility Bldg PLAN NUMBER
APPLICATION/PERMIT PERMIT Nl"MBF_R
t /7°/8 ISPOKANE COUNTY — BUILDING CODES DEPARTMENT ) , ���
VNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
* 62.00
JOB ADDRESS
n LEGAL DESCRIPTION — SEE ATTACHED .<, 0
1. 6" /3 7D. "�; -,`'
LOT BLOC SUBDIVISION PARCEL NUMBER/S N 45-2: tsF may, 66' t74i Y
f 6200 6
T2. 6. Zv' c,F13t'(S ;•.:£?,�' cxc N �4)Z'8r7 -
ATER PHONE A * 0 0%, J
e3. y�G-7 /87 _ ZZ`544. 1 Ek: ) iv 5 €- i\1c0c=f1ec
A DRESS ZIP Actual Set Backs in Feet 1 3 6. 6
��� IZ
in %D,.� `[ j1,r..IJ/,� � 2� �1��
, q � North 2416' 'South '.3'.32CZEast 1+6' West fes, '= - 1 1 - C% 1
CONTRACTOR PHONE Size of Parcel Zone Classification r_
4. Chi . 13'444 ,Cly�t 1-d, 99.2 4-A5.D 7 i cxa ',. 4,`_, (\63)A4.-4,1cf ite et C. 6 a 7 9.
ADDRESS ZIP Type Const. Occupancy Sprinklered
dj;1, 11.LIP-c,jam,3-13 �-'. ..d., 19 19A-61.4.44/ i g/) 7 c3rp YV( i Yes ❑No 0 Req'd.
ESIGNER PHONE V luation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
- — ‘c.,C=Jt
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. -
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE RI NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. i 1, l
7. OF 0 OTHER
WORK lcl BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. No7eq'd.
of EXEMPTION
DES RIBS WORK r ' i Enum.Dist. I Location (Area) T
8. ` -t {y/' i 1 ( U X he w Q SLA 8 I
) FEES COLLECTED
VALUATION rsol E GAS ELECTRIC WATER SEWER Ownership / USE CODE
9. 4ahoc7OF
UTILLITIES Public 0 Private ®
1 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 -6;62'2 4;c'
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
DATE OF APPLICATION
-2 -l "W SIGNATURE OF APPLICANT kkt./ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Erialt h 1 0 // SEPA
Planning CD
(-)
- w
Mobile Home -I
Fire Marshall
Co. Engineer Other(Specify)
)•)C-..).K: �1`COE it)
Utilities
TOTAL $ 6.Z,0`''
Plans Examiner ,
j - R c ceD WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu'Iding Techniciai -��- PERMIT IS NONTRANSFERABLE O'2;iw 1-i3'-;8°1' • 14 2�6 z *62,002r2
-� �' , il�lo(�.eL PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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