1981, 04-14 Permit: 81A-3507 SidingPLAN NUMBER
001
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
1.
2.
3.
4.
JOB ADDRESS
N,Pio3 Be34-Road
LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK
SUBDIVISION
OWNER
ierrenck.R, East
PHONE
9a a 39.3
PARCEL NUMBER/S
t/fl"--75tP1
ADDRESS
N , Iijo3 fesf Road
CONTRACTOR
Th e Ira/ /roMLQrs Con frac tUr�s
ZIP
9o2-/
Actual Set Backs it. t."14
'South South 7 East
'West
ADDRESS
Atf r 3104,Arr6incti knad
DESIGNER
5. ADDRESS
PHONE
gag.4L
Size of Parcel
Zone Classification
PHONE
Type Const.
Valuation
Occupancy
3
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑ NEW
0 BLD.
O ALT.
O PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
VOTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not tReq'd.
8.
SCRIBE WOR
�t
VALUATI r'!i
9. 54 ai
SO
OF
UTILITIES
•51,.-c cite
E ELECTRIC
GAS
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership J
Public 0 Private I!g
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
SPECIAL APPROVALS
1 NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technic.
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERAB
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
s6LrUV
TOTAL S56 ,00
PERMIT NUMBER
605,--35c)-7
Oc* *5600
* 5600 rn
* 56006
A *0,00 0 •
350.68
04-14-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
014;r
DATE ISSUED"
3'5 0.7
PERMIT NO.
5 6.0 01
' --
TOTAL