1980, 04-24 Permit 80-3910 Storage BldgPLAN NUMBr.
66.4
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
PERMIT NUMBER
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DATE OF APPLICATION
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SPECIAL APPROVALS
NAME DATE
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRE
LOT
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
DGa
SUCUIVISIOIN
OWIvG l
Iido
3 ADQRESI,
CONTRACTIQb
PHONE
172-6±
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S � 2 r M1?—
14�I/4q
4 / , 16 G 11/41 '1'13
Actual Set Backs in Feet
North South
PHONE Size of Parcel
170 x 15C2
East 'West's
ADDRESS
ZIP Type Const.
Z e Classificat on
Spr klered
Occupancy
DYes ❑No D Req'd.
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
PHONE Value
ZIP
TO
,,/NEW ❑ ALT. ❑ AD'N. ❑ RPL. El MVE.
IJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
DESCIBWORK
8. C��IfC�/f I1�1 ♦!1k[
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELE RIC
❑ OTHER
aVOR
k
SEWER
aaflc
ion BulBunging^ 0 Sq. Ft. 0 0
Main F •or Upper Floors
Garage Area
ISor d
Area of Decks
No. Baths
Finished Basement
Unfin, Basement
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum, Dist.
Location (Area)
Ownership
Public 0 Private Er
Req'd.
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
,P/610
SIGNATURE OF APPLICAN
Env. 1-
Planning
Fire Marshall
Co., Engineer
Utilities
Plans Examiner
PaVaLr, vA,rr '/ -23
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not R
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ S'L
fr go
02x
*8'6.00
* 8.610 0 i
390.92
04_24'-80
2 61179,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
uilding Te nic.an ,.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
014`-1249=18'0 3'910z *86,0.021 -
DATE ISSUED PERMIT NO. TOTAL
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