1981, 04-24 Permit: 81A-3908 RemodelPLAN NUMBER
(0/
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.
JOB ADDRESS
! a
—L1241
I I BLOCK`SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
3. i _��C.-i4)
A DRESS
Z
CO TRinCT R
Art
4.
PHONE
9=Z—/�
PARCEL NUMBER/S
Al;3lo�A.e r 7 - 5
[3� K U PPoieruN/rj
ZI P
99:za.6
Actual Set Backs in Feet e4J/444
North 'South East West
PHONE
Size of Parcel Zone
Classification
ADDRESS
/:2/
DESIGNER
5' ADDRESS
ZIP
9qs37
PHONE
Occupancy
Valuation Building Area in Sq. Ft.
Type Const.
1/-4/
Sprinklered
❑Yes ❑No ❑ Req'd.
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
❑ BLD.
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ��❑yI P�O�O , OTHER
x0.214 j �.Tl i Ate
8. �'y �/ p. J'j.1 ./.#� -wel , i-1C.e. b i 'p��
VALUATION SOU CE GAS ELECTRIC WATE'
97. - Q L� O F
Y. '70 �(�--- UTILITIES
DESCRIBE WORK
No. Baths
2
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
SEWER
Enum. Dist. I Location (Area)
Ownership
Public ❑ Private fl
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 11/' —."2- --F/ SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health •
kpfei
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner •
SEPA Checklist
Building T hni n
j?Xt t•-- ,. � 4a 1
it c'�c`L , 7L T/ J a4a
-�- .
'
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 $ 6b' a
PERMIT NUMBER
A-37OY
02* *6800
*6800 ro-
*68.006
A *000
390,72
04-24-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
319°31
DATE ISSUED PERMIT NO.
*88.00
TOTAL