1982, 07-23 Permit 82A-6360 Demo Chicken House, ShedPLAN NUMBER
PERMIT NUMBER
�A- (U3(ao
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
JOB ADDRESS
LOT B OCK
OWNER
3
ADDRESS
CONTRACTOR
4. 1Mi✓
ect,02
SUBDIVISION
ADDRESS
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TO
PHONE
ZIP
aot
PHONE
ZIP
PHONE
ZIP
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs in Feet
North South
East West
Size of Parcel
4 AC,tc
Type Const. Occupancy
Valuation
\ 1 C ()
Main Floor
Upper Floors
Area of Decks
Zone Classification
J�G.(e,tc_ rr,t. -Ace
Sprinklered
Dyes ❑No ❑ Req'd.
Building Area in Sq. Ft.
Garage Area
Finished Basement
Storage
Unfln. Basement
❑ NEW
❑ BLD.
TYPE
7. OF
W aaK// VE]]
t`IfrBRK
❑ ALT.
❑ PLMB.
8. ('a-) CA -A A V. E1.y
VALUATION SOURCE
OF
9. UTILITIES
❑ AD'N. ❑ RPL. ❑ MVE.
❑ MECH. 0 M.H. 0 POOL
GAS
•E OTHER
`� &) MAc.-i Jve•
ELECTRIC
WATER SEWER
No. Baths I No. Stories
No. Rooms INo. of Dwellings
CERTIFICATE
of EXEMPTION
Location (Area)
Enum. Dist.
Ownership USE CODE
Public 0 Private
Req'd. Rec'd.
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 � �5 "— gc%a—
SIGNATURE OF APPLICANT2\ �L-� -z.� /4'
^
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS: 0 G
/X v1,WlA
Not Req'd.
FEES COLLECTED
Single $
Building 0'
Plumbing
—Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02* *3000
*30.006
A *0,00 Pi
635.9z
07-23-82
z 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
PA,ki9Arg
n
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
01'7.213 78 '2
DATE ISSUED
6136,Oz *31002,0 —
PERMIT NO. TOTAL