1981, 08-24 Permit: 81A-8486 ACPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 1 (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
JOB ADDRESS
la -5. 414 1///Y/ /CP
OT BLOCK S :11 SON
0
ER
ADDRESS
Z/f/- V/;11 /637„.7
C4. ,21/13);Zlfi/ae i214-4, Zit/6
/73 //e'4..FA44 Pc'. gg.e/Z-
PHONE
ZIWAY7
DESIGNER
PH ON E
Actual e Backs in Fee
North 'South
Size ol Parcel
PHONE
Eas
ZoneZOfle Classificatiofl
Wes
Type Const. Occupancy
Valuation
ZIP
ADDRESS
ain Floor
CHANGE OF USE FRO
TO
6.
TYPE
7, OF
WORK
O NEW
O BLD.
O ALT.
• PLMB.
'N. 0 RPL.
MECH. 0 M.H.
O MVE.
O POOL
0 OTHER
Upper Floor
Area of Decks
No. Baths
0Yes 0No 0 Req'd.
Building Area in Sq. Ft.
a a e
Storage
inished Basement I Un in. Basemen
No. Stories
No. Rooms 1N°. of DweIIingS
DESCRIBE VVORK ,.
8. /A/jr1-' "14' /6W/ 74/E
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF
UTILITIES
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
//4/z.4 '&45/I
CERTIFICATE
of EXEMPTION
Enum. Dist. 1 Location (Area
Ownership
Public 0 Private
USE CODE
Req'd.
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Ch cklis
SIGNATURE OF APPLIC
SPECIAL CONDITIONS
•
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
IPERMIT NUMBER
f3
0/4- *14,00
1400 1,73
* 1 A. 0 0
*0,00
8/18.52
08-24-81
f 6 4 7 9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 8 1
DATE ISSUED
8 4 8. 6
PERMIT NO.
*1OQi -
TOTAL