1981, 07-13 Permit: 81A-6939 MH14.
PLAN NUMBER ; .41�
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
1.
2.
3
4.
JOB ADDRESS
• 92.07
LOT
BLOCK
AANN
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
OWNER
Joe Nu
ADDRESS
5-.92.07
CONTRACTOR
ADDRESS *-
PHONE
ZIP
`l cl ZU�o
PHONE
PARCELNUMBER/S 175/f3 -/3o9 -G
N Zoo K of S. 'foo et of E z
Exc. ST. oPPofiUNI TY 6 t
Actual Set Backs in Feet
North - 'South 1
ZIP
East
'West t 2
Size of Parcelpp -t I tneClassification
1931% 2'UG •
lne
II '1',r/`ISprinkleretl
❑Ves ❑No• ❑ Req'd..
Type Const.
V -N
Occupancy
fz-3
5.
DESIGNER
PHONE
Valuation 42eBuilding Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
2.23
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
L3-1 EW 0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 BLD. ❑ PLMB. 0 MECH. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
.Zi
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req•d.
DESCRIBE WORK it2,00LAciNci. moao t Holme.- ' J rM
8. Mog1Lg_ {}ot't - AS A .stOENcE: e X 36
1
VALUATION SOURCE GAS ELECTRIC WATER SEWER
9. 2-r, UTILLITI ES
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private [Mt"'
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 viol or cancel the provisions of any other state or local I. regulating consuction or the
performance of constru I n. SE EVERSE SIDE FOR REQUIRED INSPECT • ei S
DATE OF APPLICATION
SPECIAL APPRO\J.yLS
NAME GATE
Er>Vj He
nn
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
BU/ y i Ctlp l
/9g/IGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Co' R/w FLANKd4G1 'to
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
34/1
Mobile Home
Other (Specify) I[,
TOTAL $ Q
mow-
PERMIT NUMBER
07* *5000
*5000 V)
*50006
A *000
- 69388
0.7=13-81
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,017.17t11,!'7:81;
DATE ISSUED
6992,
PERMIT NO.
i*5ao.08.F -
TOTAL
r
0
Lu0
U
J
u..
1
•�
•
1
J
- -+
I
1 -I--I- -
-
I
I
i
'
!
-
I
I �
I �
T
I ,'
1
-I____
- t
-� --
r
r r
t
- +--,
- I, - I -
'- I
I
I
I
vkli
My.
i
(
12.96' Pit
I
i
f ,
-1
_
I
I
_
-
-�I_
_ _ -
1
•-
_Z_.
1
1
°S
o
-
i
1
. i I
-F-
11
-
1
1 '
i
I -
_ ..
-
-
- , H -
-
_
;
_
:55
-
1—
-
I
1
I
t
r�r
1 1
L
1,
1 I
.- M•
I
I
1