1981, 11-20 Permit 81B-2014 Remodel Barn'PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY BtiD1NG CODES DEPARTMENT
PERMIT NUMBER
b'I+13- 2o1
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
146.2, 3 $ R,e AP iktikY
LOT
2.
BLOCK SUBDIVISION
OWNER
3 _ M• D. t3viR—Tc 4
ADDRESS
E:- I4ro.z3 BRicPPWAY
CONTRACTOR
4. SMNt¢1
ADDRESS
PHONE
ZIP
PHONE -
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S ,45f..z _UZ 35
-2.00 Fr of £ ids ET OF SEA °P Nta
of sg.c- !J-25-44 CA- /LPS.
Actual Set Backs in Feet
North I.)cgiii
Size of Parcel
IGG" x,ZOOI
Type Const. Occupancy
V—N M-1
lE (West
Zone Classification
gKiICTU494L .-.
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5.
ADDRESS
PHONE
Valuation
ZIP
Main Floor
0y-
Upper Floors
Building Area in Sq. Ft.
r7
Garage Area
Storage
CHANGE OF USE FROM
6. AregVialfoic= BAf
TYPE
7. OF
WORK
TO i40l't&, vcc.4PA- rLoh/
(nccMtNcS)
❑ NEW V?ALT. ArAD'N. ❑ RPL. ❑ MVE.
12+-gLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Area of Decks
No. Baths
Finished Basement
No. Stories
No. Rooms
Unfin- Basement
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK g/A
8 12.EAC•1:*-L ISTN4q Rim To Dc4 GR.boM IN
VALUATION
9. JgOOQ
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Enum. Dist. I Location (Area)
SEWER
Ownership
Public ❑ Private ❑
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 1/ / // / X / SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health aar,
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
FEES COLLECTED
Single S Q
Building CO ei'p(
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 6 aq
)()1'
02*
*68,00
*68.00
201. 1
1 1--20-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
11;,= 2 0 812 01, 2 Z
DATE ISSUED PERMIT NO.
*68,002P —
TOTAL