1981, 10-16 Permit: 81B-0731 ResidenceOrr
PLAN NUMBER .
8/A- 1/"a
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. to4., k"kCX_A AP C,
LOT BLOCK SUB IV SION
2.G,
OWNER
3.
CaAtz:�l
tlLEQ tSr
cacao
LEGAL DESCRIPTION - SEE ATTACHED.
ADO 1 Tnoi'a
'k -DAe��a�
PHONE
456- 74-2, I
PARCEL NUMBER/S
0544i •- LS6C.
ADDRESS
ZIP
Actual Set Backs in Feet
North (South SCr
East '401 West 40
4.
CONTRACTOR
MtctttacLlS 1 (WC -a
PHONE
ti.S9�
Size of Parcel
t(
Zone Classification
qct. Sug.tlzv)ixj
ADDRESS
tl—f0.,, t.. MAW
ZIP
TyYpe Const.
Occupancy
12.;31m -I
Sprinklered
CYes CNo 0 Req'd.
5.
DESIGNER
PHONE
V ation
ADDRESS
ZIP
Main Floor 47
MainFloors
Building Area in Sq. Ft.
24
Garage Area
594
Storage
CHANGE OF USE -FROM
6.
TO
Area; of Decks
2a0 CDiJ1 CC
Finished Basement
Unf in. Basement
7.
TYPE
OF
WORK
II (NEW 0 ALT. 0 AD N. 0 RPL.
LJ BLD. 0 PLMB. 0 MECH. 0 M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Rpq'd.
DESCRIBE WORK
8. Si fvGt_ E t A M t( Si I G l�D-iaraE :� t PsC CO
*VALUATION
CIO,COD
SOURCE
OF
UTILITIES
UFNCE
GAS I ELECTRIC WATER
Enum. Dist. I Location .(Area)
SEWER
Seet.0
Ownership ,,,/
Public (Private LJ
USE CODE II
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 ,
DATE OF A9PLICATIOIC
SPECIAL APPROVALS
NAME DATE
26-/g1
., Dp
SIGNATURE OF APPLICANT ism— -
E nnnvv(HHHealallttthh
NdtTMng
Fire Marshall
7/!/Y-/Co.r5JNfi9ine4..€4.G -
Utilities
{�
PI a rtA Ex a m e n er
SEPA Checklist
e ding chnlcian
SPECIAL CONDITIONS: INt IC.R ASH14'1 to: ' wry; LsOS-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building SGA-. to
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $'3L.4'•4J
PERMIT ri::C18 FSR,
813-0131
02*
9 25 '8
*364.00
*36400 1-6
*36400
A *Q00 8
985'8-
019-25-81
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
itli!j, a 1i If'1
1 0;,;Fi 6' °.88 1,
DATE ISSUED PERMIT NO. TOTAL
7.14 Z ;it 3:6 CO
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