1981, 08-18 Permit: 81A-8251 ResidenceNUMBER ,
�3rA -
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
�IE.R�4�t1
LEGAL DESCRIPTION -SEE ATTACHED
1. N.'tii
5-4C.
T
BLOCK
B
PARCEL NUMBER/SL I L, I t''TWI a
2.
Plans Examiner
WW'14 61' NL:44 DF SE W4 LVG _ Of i . AllmAai
OWNER
� %AV15 l�iil(LoE+�LS
PHONE
[�510-A03[r
NIV19
i"15N4 'Gtbb7
3.
ADDRESS
417-73 15. "WRA&k9
ZIP
415120`
Actual Set Backs in Feet
( 3� � .1
'.
North 16• South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
�7 i4YYlE
X too
�iC�ilL1LtJ�L'�U 21f�L
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
�AMLy
YN
231rh_1
Dyes ❑No ❑ Req'd.
DESIGNER'
PHONE
V luation
f
Building Area in Sq. Ft.
32:?W
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
3L LL Ai Fano
2
TYPENo.
NEW 1-1 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
Baths
No; Stories
No. Rooms
/T
No. of Dwellings
f7,
OF ,( ❑ OTHER
WORK CU BLD. ❑ PLMB. MECH. ❑ M.H. POOL
CERTIFICATE
I
Req'd.
Recd.
I
Not Req'd.
I
of EXEMPTION
V
DESCRIBE WORK
8. X1111411 i'iRMU-q RCE,ior uta 6AR AIiE LkkUaf -
Enum. Dist. I
Location (Area)
FEES COLLECTED
jVALUATION
��771�a�
SOURCE
OF
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. 3Z�1L1
UTILITIES
SL?Tte—
Public ❑ Private t
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 a�
BuildingZL�
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 / Il , / - e / SIGNATURE OF APPLICANT
4�7
/t' Mech.
PE7M!T NtYVABER,
zc, 00
00
*2(:000:
c
Z. S 'C I O
6 4 7 �
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
OSEPA c
g 3 C
i ?LMvivot, N?MUAL LSIN t. Loi Mobile Home L
Marsh
L
Co. Engineer
J,�vr
3 17 I
5-4C.
Utilities
3Jty
Plans Examiner
roM A6 T7 g -w
T
SEPA Checklist
Buildi g Technician
'.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL $ 2-b6-
WHEN
-b6.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,0.8-1 all8`1' 825.12 *120&000 -
DATE ISSUED PFRMIT NO TOTAL
I.0
N.56" OF S.518 I OF
THAT PORTION OF
N.W.1/4 OF N.W.114
OF S.E.1/4 OF
SEC. 17 LYING
BETWEEN HERALD
AND WALNUT RD.
EXCEPT W. 195.3
THERE OF 0
0
m
N
I F. F. 3.3
Kc
15
� N
cc
F—
a
3
I,0
56
N
1.0 HERALD
SCALE 1=20