1981, 06-02 Permit: 81A-5380 ResidencePLAN NUMBER - f E-- I
�!A- 271
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. E.11
Mat.: KUAO
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK
2. '•1 7_
SUBDIVISION
',I IFS l5i Acta iitoni
OWNER
LLOYD et LOE2AtJ3
PHONE
PARCEL NUMBER/S
06441- float
ADDRESS '
E. 14-n4101.14 N
ZIP
1 Actual Set Backs in Feet
CiLl0J/ North CW I l '
South in East S(i West'16
CONTRACTOR
LW(gumE lNWalMEnlr4
PHONE
4424-=6
Size of Parcel
I50.4
Zone Classification
AL,.6usctze_at.%
ADDRESS I
40°- N. ?We)
ZIP
926L
Type Cons
Occupancy
R.3/M-1•
Sprinklered
Dyes ONo 0 Req'd.
DESIGNER
5. ADORES.,
PHONE
Valuation
4, 7PL
Building Area In Sq. Ft.
ZIP
Main Floo
1?)5D
Upper Floors 1 Garage Area
IOL/e.,
Storage
CHANGE OF USE FROM
6.
TO
Area of Deck
Finished Basement
tJnfin. Basemen
1525
TYPE Uii NEW
7. OF
WORK BLD.
D ALT.
❑ PLMB.
❑ AD N.
D MECH.
❑ RPL.
❑ M.H.
D'MVE.
0 POOL
0 OTHER
No. Baths
1.5
No. Stories
1.
No. Rooms
4
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Rfq'd.
DESCRIBE WORK n� /�
$• 31NGaLL YriMtL4 "xttLkNCE. C1MQ�'-Y1ti7
sE- Af4.
/
VALUATION SOURCE GAS ELECTRIC WATER SEWER
1yyppk� OF
g. aT/LUl% UTILITIES SErr-
Enum. Dist.
Location (Area)
Ownership
Public 0 Private
USE -CODE
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
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 jam/�> / 1
DATE OF APPLICATION'ti` S 27-7 ^ t� / SIGNATURE OF APPLICAN 2
SPECIAL APPROVALS
NAME DATE
L' L(' l !Qi 5/
Planning
Fire Marshall
Co Engineer
c �(• cktS:'L//''
S'
Utilities
Isl
P s Examiner
TOM 1°06-fttWArr /_ J3
SEPA Checklist 4
SPECIAL CONDITIONS:
NEED CON uF Cucz Crer LV_'Eci4aE.
(;yy etrnssr •
/
BulidinJTechnlnician ,''.
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building ORE•
Plumbidg
Mech.
Plan Check
SEPA _
Mobile Home
Other (Specify)
TOTAL $ 24S•CL:
PERMenT NUMtflR
8/A- 53c?D
02* *2980[)
*29a00
*298op6
A *0.00 0
3794
- '0'6-02-81
2 6479.
7
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
06twi19' .-18II ILI 17' 5'3 8:0''Z'' * 2,i9 8.'0.0 a i'—
DATE ISSUED PERMIT NO. TOTAL
a
U
UJ
- J
LL.
14..P.RAP I.IuFe
%fail got
Zoo L.P.::anoiu M111144
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