1981, 12-07 Permit: 81B-2532 RemodelPLAN NUMBER
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.
JOB ADDRESS
S. I72-2—• so_-r-rmAt4 goAP
LOT SUBDIVISION
VALLE./ view mu -s APrnioN
2.
BLOCK
3
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3 DE-M€e- A -
ADDRESS
's EJ_-r-riti
CONTRACTOR
S40AF.,
ADDRESS
4.
M g•1169.-
R12
PHONE
535-5—q0
PARCEL NUMBER/S .2.55-32:-.Crie0Lf
ZIP
Cri 20
Actual Set Backs in Feet
aNcbacrit•44 East 'West
North
PHONE
Size of Parcel
/2, X15011
ZIP
DESIGNER
PHONE
ADDRESS
ZIP
Type Const.
V —14
vluation
4' /600
Zone Classification
LTURIN-- St4-0
Occupancy Sprinklered
X-- 3
0Yes EiNo 0 Req'd.
Building Area in Sq. Ft.
8.40
Main Floor Upper Floors Garage Area
CHANGE OF USE FROM
6.
TO
St it°
Area of Decks
Storage
t ---
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
NEW
ErBLD.
LT. 0 AD'N. 0 RPL.
PLMB, El MECH. 0 M.H.
MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
3
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. IttrtoPE.-L_ MP-AC.1E- NT* itle-Gelf-A-nOt4 P-001`11
ELECTRIC
VALUATION
9.
co
/5—o0 /qr
SOURCE
OF
UTILITIES
GAS
WATER
Enum. Dist.
Location (Area)
SEWER
Ownership
Public 0 Private 0
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 conskuction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
ik0 P . , ,
DATE 0 kATION
SIGNATURE OF APPLICANT ' A
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
RC* o'c9
SEPA Checklist
Building Technician
SPECIA'I. CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building Z5)r
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 251
PERMIT,, 1UMBE.f4!
* 25.00
* F C 0
* 25C 0
253.1
12-07-81
zT 61179
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2532 z *2 5. 0 0 g), 1:! -
DATE ISSUED PERMIT NO.
TOTAL
C' T i Nlk« /,i'7)A C.)