1981, 10-09 Permit: 81B-469 AdditionPLAN MBER r APPLICATION/PERMIT PERMIT wi7MB8fi
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
a� 280�v GILEGAL DESCRIPTION — SEE ATTACHED
�. �E✓N� ��
2
L4 BLOCK BL K BDIISON ++PARCEL NUMBER/S
&OQn ++01
OWNER PHONE
3. t9� °
- 1 RI
ADDRESS fJ
P
Actual Set Backs in Feet
North South
East West
CO
PHONE
Size of Parcel Z ne Classificati n
4' ADDRESS
"
Zip
TVNe fronst.
ccupancy
Sprinklered
B--'-2 1❑Yes
❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
�S
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
rea o ecks
Finished Basement
Unfin.
Basement
6.
,C O 0,
TYPE NEW ❑ALT. �AD'N. 11 RPL. El MVE.
❑
No. Baths
o. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd. I
Recd.
Not q'd
of EXEMPTION
DESCRIBE WORKAA�
CEJ A o v l'r+ D�
Enum. Dist.
Location (Area)
FEES COLLECTED
8 IJ`�
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership SE CODE
9.
OF
UTILITIES
I I
I
�j% �j
Public ❑Private
Single $
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
Building —1
--
to give authority to violate or cancel the provisions of any other state or local law regulating construction or tQL
he•
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION/ �i — SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS
NAME DATE
alth
4W e
Planning
Fire Marshall
Co. ��er I
�
Utilities
Plans Examiner
SPECIAL CONDITIONS:
ng T� nlci n PERMIT IS NONTRANSFERABLE
- - Le — PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
—
TOTAL $
WHEN MACHINE VALIDAI
THIS BECOMES A PERMIT.
DATE ISSUED
jam* *18800
0 0 �
A *COC
'10-C9-81
11 6t 79,
N TH
I
,
4.6.92 *'188.00a�
PERMIT NO. TOTAL
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7
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36' APiVw
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