1982, 07-06 Permit 82A-5280 Pole BldgPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT Ni1MB'E-
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
3
JOB ADDRESS
£/i tad/41
LOT BLOCK S BDI ISION
ER
AaDRES
17(
PHONE
ET .2
ZIP
PHONE
g45' ,STEEL ,Q� oGs 4/6-5-7
4.
C TTRAC R
d0
AO RZIP
t ESS �X 43/s 3E e d%fl i,�os 7a,2 I
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/5 `/5 /_ J /J7 7
Actual Set Backs in Feet
North ` _ / South -'
Size of Parcel
Zone Classification
3/6 X /2S
Type Const. Occupancy Sprinklered
�� 11li •( Des ❑No 0 Req'd.
ituation Building AArea in Sq. Ft.
•ruEOt '
Main Floor
Upper Floors Garage Area
7,20
Area of Decks
Finished Basement
Storage
Unfin. Basement
TYPE
7, OF
WORK
EW
BLD.
❑ ALT.
❑ PLMB.
❑ AD N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths No. Stories
No. Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Req'd.
Not Req'd.
DES • IBE WORK
8. LDG,
V • LUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
L1 ,541)6
WATER
SEWER
Enum. Dist.
Ownership
Public 0 Private 0
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 OFA▪ PPLICATIONR
/ 7 /?J NS
-'SIGNATURE OF APPLICANT , e
SPECIAL APPROLS
NAME DATE
Env. alh/
(�/ 2
P anning //
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
A� s A.) F< 41:5
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building 41'��
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $0411
02* *47.00
*47.006
A *Q00
505.8.2
06-- 1 6-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
5'28.0o *47,OOa1-2.-
PERMIT NO. TOTAL
COOK BROTHERS CONTRACTING
Route 2 Box 853 B
OTIS ORCHARDS, WA 99027
(509) 924-1557
l
JOB ZVX7744}if/�_t dX,rT ?,,'?51 7 /V
,6H&ax ?'// 9 7/746';Z/ OF
CALCULATED BY DATE
CHECKED BY DATE
SCALE
C.T - /Q ,6,1 /0
/e-v„ 7U
r /15 /4—/i7V-7
3 r1..
21-0
<-104
a'+'
2419 E /I1 RIN
70