1980, 10-30 Permit 80B-2973 Storage BldgPLAN NUMBER
2 /8 /O/3o/no
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
r'E2.MIT NUMBER
$oL3•-2y73
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3676
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
+129 MI kivoid L7KI\/�
LOT BLOCK SUBDIVISION
OWNER
3 3L'AK 6 Mc *S I d I-
ADDRESS
. 252_ p(4Ir iA
4. ADDRESS
CONTRACTOR
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TO
PHON
2)X4--59?
zi e)
PHONE
ZIP
PHONE
ZIP
Occupancy
M
Valuation
ZFCe, Upper Floors
Main Floor
0o
Area of Decks
Sp nklered
❑Yes ❑No ❑ Req'd.
Bilding Area in Sq. Ft.
4.00
Garage Area
Storage
Finished Basement
Unfin. Basement
b-7I
TYPE
7. OF
WORK
E Y'NEW ❑ ALT. ❑ AD N. ❑ RPL. ❑ MVE.
WJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
DESCRIBE WORK
8. O l°-,
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
1,1)01 J (� 1 ><
ELECTRIC
WATE
CO�N��c
Enum. Dist.
Location (Area)
SEWER Ownership 1, USE CODE
e+1IG Public ❑ Private lid
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
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
DATE OF APPLICATION/ /Z. 7- Y t, SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Health
0/Lier'/�
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
'T M Pos M-IT /3,1
SEPA Checklist
SPECIAL CONDITIONS:
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER'S 32 r 4— 4 0 9
Actual Set Backs in Fee riii
North (South 1.2,1
Size of Parcel
r7-r
[East 12? (West
ZorteClas+l6a ion
Type Const.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not.Rp d.
FEES COLLECTED
Single $
Building 5)'
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
aG
•02* *50,00
*50.00
*50.006
A '*0,00
291.42
1'p-t29-80
z 6.t79.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATI 16O1$'
PERMIT.iI71 / ,3 2 TOTAL