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1981, 04-14 Permit 81A-3503 Barn, Pole BldgPLAN NUMBER PEgRMIT NUMBER APPLICATION/PERMIT SPOKANE COUNTY - BUILDING CODES DEPARTMENT NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES 1. //(JOB ADDRESS N / �i3 i g ,VIif ! ii d r)-- t: A-1-(ir , LOT BLOCK BD VESION .r 2. y / i1- i ../)&44-t1 6?/.--1 -4 _ /2711-- I O ER /� /? DRESS CONTRACTOR 4/l/ . ADDRESS ef DESIGNER 5. ADDRESS -/ ;fj-AJ CHANGE OF USE FROM 6. TYPE 7, OF WORK © NEW BLD. ❑ ALT. O PLMB. PHONE Z ZIP PHONE 7� ZIP PHONE ZIP TO ❑ AD N. ❑ MECH. ❑ RPL. ❑ M.H. ❑ MVE. ❑ POOL ❑ OTHER LEGAL DESCRIPTION — SEE ATTACHED PARCEL NUMBER/5�$ ,i. O'7 45.4— / [JewO.:IUxs4 .4 C K, 7rN , 4 IMP Actual Set Backs In Feet / North j�/j / ISouth 3.5 East 1 / West 3'.J Sizef arofcel Zone Classification (� / f/i //M, J 2 I Sprinklered ❑Yes ❑No ❑ Req'd. Building Area in Sq. Ft. / Type Const. Occupancy Val ation Main Floor Upper Floors Gara.eArea Storage *RD/ Area of Decks Finished Basement Unfln. Basement No. Baths No. Stories / CERTIFICATE of EXEMPTION No. Rooms J / Req'd. Rec'd. DESCRIBE WORK 8. VALUATION SOURCE GfAS ELECTRIC s9 �J OF /9'4 , UTILITIES ) WATER SEWER Enum. Dist. Ownership Public ❑ Private Location (Area) USE CODE 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 4 -_/4 " i SIGNATURE OF APPLICANT SPECIAL APPROVALS NAME DATE Env l-1ealth Planning ,/ 1//‘ Fire Marshall Co. Engineer Utilities Plans Examiner SEPA Checklist , SPECIAL CONDITIONS: ' No. of Dwellings Not Req'd. FEES COLLECTED Single Building Plumbing Mech. Plan Check SEPA Mobile Home Other (Specify) TOTAL A 3500- 04-14-8.1 2 6479, 02* *32,00 *320.0 *320.06 *0.00 U WHEN MACHINE VALIDATED IN THIS SPACE, THIS BECOMES A PERMIT. Buildin Tec nicia PERMIT IS NONTRANSFERABLE PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE '0+141* 11141, 13; r DATE.ISSUED 3'5 '0.3 'Z *'3.2 0.0. a 1-2. PERMIT NO. TOTAL