1980, 02-28 Permit 80-1593 Chain Link FenceV LUATION
9. "0a2
r.LANNUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
JOB ADDRESS
LOT BLOCK
3
R ESS
4444-e—
CONTRACTOR
4. a.,61'-ACIE�AS�A�,s Q
)0141A
SUBDIVISION/
5' ADDRESS
DESIGNER
PHONE
C1a67— Zd d
ZIP
99 2
PHONE
ZIP
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 014:$.54./— vg/9 — 082
pv/ZT. CuK 2.Z' N op- ,EyaFSE OF
.axe . s 7 DePoRTQ JJTY AI,* 0 F.SL vF / C/C 2.2 '
0 PPPR7vA// rJ yy
Required Set B ce)
North South East IWest
Size of Parcel
Type Const.
7 A
Valuation
Zone Classification
S t klered
❑Yes W.No ❑ Req'd.
Building Area In Sq. Ft.
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
❑ NEW
❑ BLD.
❑ ALT.
❑ PLMB.
ZIP
TO
❑ AD N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
DESCRIBE WORK
// 9 D .��t iP�1 L t, D( i.�./.U,K%,�'r,>�e,
Sourc GAS ELECTRIC WATER
of
Utilities
0 OTHER
No. Baths
No. Floors
CERTIFICATE
of EXEMPTION
SEWER
No. Rooms
Req'd.
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 s and ordinances governing this
type of work will be complied with whether specified herein or not. Th grantin . . rmit does not presume
to give authority to violate or cancel the provisions of any other e r .cal la regula in construction or the
performance of construction.
DATE g'-Fa SIGNATU E
DEPT.
SPECIAL APPROVALS
REC'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
Li;UiI is UWNLR'S WARRANTY
YES
NO ❑
SPECIAL CONDITI
DATE*4 7,% OFFICI
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ /4
PERMIT NUMBER
84-A
DATE ——D
02* *1000
* 1000 tz
* 10006
E *000
159.22
02-28v-80
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
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APPROVE OR ISSUAN
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