1981, 07-30 Permit: 81A-7594 AdditionPLAN NUMBER,,1, 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
JOB ADDRESS
1. N, 403, FIA22 LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3. •-0 cdMDv
ADDRESS
N _ 1403
4' ADDRESS• -
`.�Iif\tE
DESIGNER
5, ADDRESS
SUBDIVISION PARCEL NUMBER/S bt-iPbV--( NiT,f b( -Y- I03
fir 6`l2 Gc S+i 8Kc-. nf. v4,
PHONE i�� Lb�2lS
ZIP Actual Set Backs in Feet
q6A zalNorth South ZZ' East 7 West
PHONE Size of Parcel Zone Classification
75 X rl P—%C (A'— kA"( -
ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ Req'd.
PHONE Valtion Building Area in Sq. Ft.
%0 G,(oo
ZIP Main Floor Upper Floors Garage Area Storage
CQ lot)
TYPE KNEW
❑ ALT.
AD'N. ❑ RPL. ❑ MVE,
No. Baths
i
No. Stories
No. Rooms
2
No. of Dwellings
7, OF
Ud BLD.
❑ PLMB.
❑ MECH. ❑ M.H. ❑ POOL ❑OTHER
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEM
1V)
DESCRIBE WORK
Enum. Dist,
Location (Area)
8- 1 t Iv �f;
5t1.7fJE:,
FEES COLLECTED
VALUATION SOU
RCE GAS ELECTRIC WATER SEWER
_ Ownership USE CODE
(� UTILOITIES [2F Public ❑Private Single $
1 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 Building -co
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 Plumbing
DATE OF APPLICATION Z--,913 — / SIGNATURE OF APPLICAN Mech.
SPECIAL APPROVALS
NAME DATE
Ith
W�� 7/.
ning
Mar
SPECIAL CONDITIONS:
Co. Engineer
Utilities
PI E a i e
SEPA C ec list
BTechnician PERMIT IS NONTRANSFERABLE
ui�din
C�d' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 46.(go
PERMIT �jUMB6�? ,
75,
02* *36.00
*3600
A, *( 00
751,6
07-2R-81
6.47c
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
01i '�?'9, ;8�1. 7 5 9, 4 Z
DATE ISSUED PERMIT NO.
*86,00.a..F-
TOTAL
L
L
9.
L2`f! t+sOCC.
Y%//�. "7'
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