1981, 03-16 Permit: 81A-2448 PoolNUMBER -, -
APPLICATION/PERMIT
SPOKANE COUNTY —BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOI<ANE, WASHINGTON 99260 / (509) 456-3675
QVALUATION SOURCE GAS ELECTRIC WATER /+SEWER Ownership 1 USE CODE
9-`,Q(� joUTILOITIES �6P71L Public 11 Private v 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 Building
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 INSPECTION�S� Plumbing
DATE OF APPLICATION LI _[(e�/lam. I �. �7X SIGNATURE OF APPLICANT �/�-«� L4 Mech.
SPECIAL APPROVALS
NAME DATE
Ith
y1 a -3/ti
Manning / i
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ec
3uuoing ecnnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Homej
Other (Specify) " , 00
SL- I%-ft1 t44 Tl9oL
TOTAL $'2-9 x5e._
PERMIT NUMBER
61x4 -Z44&
02* *2500
*2500
2447
03`= 1 6-81
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 4 4 8 lcz'
*25.00a� -
u
u
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
S. 286& GL6NPJ
LEGAL DESCRIPTION —SEE ATTACHED
L T
BLOCK
NUMBER/S
2. —4
1 1"
ISUBDIVISIONPARCEL
KDKDMo
'CowmstTE
OWNER
PHONE
/�yy
ZQ�� -S-44,„k
3.
1” 1L-L1A** - LAA E TRAY
4143-1144
1
ADDRESS
ZIP
Actual Set Backs in Feet
S • ZWb Lmum)1U iza
.
OA ?D&
North South 107 EastSd PMpx• West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
-PA%3iLL►D11j Pooi.S
4ld.-i05S
Iwx 2zd
k-,. SUOURaAr)
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
/
U-3. 102 6(? -Rbcs
OA2-a
`201
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Val tion
Building Area In Sq. Ft.
61.&)b512
5.
ADDRESS
ZIP
Main Floor
Upper Floors I Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE 1� NEW El ALT.
1:1 AD'N. 1-1 RPL.
El VE.
No. Baths No. Stories
I No. Rooms
No. of Dwelling
],
OF
1 11 OTHER
WORK ❑ BLD. ❑ PLMB.
❑ MECH. ❑ M.H.
OlJ POOL
CERTIFICATE
Req'd.
Recd.
Not REq'd
"
of EXEMPTION
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
QVALUATION SOURCE GAS ELECTRIC WATER /+SEWER Ownership 1 USE CODE
9-`,Q(� joUTILOITIES �6P71L Public 11 Private v 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 Building
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 INSPECTION�S� Plumbing
DATE OF APPLICATION LI _[(e�/lam. I �. �7X SIGNATURE OF APPLICANT �/�-«� L4 Mech.
SPECIAL APPROVALS
NAME DATE
Ith
y1 a -3/ti
Manning / i
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ec
3uuoing ecnnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Homej
Other (Specify) " , 00
SL- I%-ft1 t44 Tl9oL
TOTAL $'2-9 x5e._
PERMIT NUMBER
61x4 -Z44&
02* *2500
*2500
2447
03`= 1 6-81
z 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 4 4 8 lcz'
*25.00a� -
u
u