1981, 04-06 Permit: 81A-3125 Addition(PLAN 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
JO8 ADDRESS
LOT BLOCK
2. iv
SUBPI,/ SIGN
//
3
4.
OWNER
,1%1_•/..4-41_,;
PHONE
-o3 7
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S _ �G)
L,Ei-t / S/1,!{
AUPRESS472
.1();24 -ea -4
CONTRACTOR
ZI P
Actual Set Backs in Feet
North ;-. ISouth -YL.
East
West 44-.3?'
DDRESS
14414' n
DESIGNER
5' ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
NI NEW
❑ BLD.
❑ ALT.
❑ PLMB.
HONE
ZIP
PHONE
ZI P
TO
AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
Size of Parcel
Type Const. I Occupancy
Valuation•
Main Floor
Upper Floors
Area of Decks
1 -
o. Baths
DESCRIBE WORK
12 ALUATION SOUR E
y O
9. �' ��` UTILITIES
- GAS
ELECTRIC
W TER
SEWER
Finished
Zope Classificatio
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
rG%
Garage Area
Basement
Storage
CERTIFICATE
of EXEMPTION
Enum. Dist.
Ownership
Public ❑ Private
Location (Area)
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
SIGNATURE OF APPLICAN
DATE OF APPLICATION —6 -" cam(
SPECIAL APPROVALS
Fire Marshall
Co. Engineer
}
7Z/D
U ilities
ns E er
SE A Checklist
4,13
SPECIAL CONDITIONS:
Building Tec nicia
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER,
1
02* *2600
* 2600
* 26006
A *000 0
31242
04-06-81
6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
t�
31258 *26,00Re
PERMIT NO. TOTAL
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