1981, 04-08 Permit: 81A-3257 AdditionPLAN NUMBER
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J
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. S . 'b 1 DS MAAYYIE2
LEGALDESCRIPTION — SEE ATTACHED
LOT
2. lip
OWNER
a ,qUC
ADDRESS
6.3109
CONTRACTOR
ADDRESS
DESIGNER
4.
5.
BLOCK
tl
SUBDIVISION
MS. LEA.) 'eau2Tld
4YtAnE11 ^
PHONE
Giza -418s
PARCEL NUMBER/S
-2'7544 -Ill b
ZIP
�iGz 1�
Actual Set Backs) iegtrtNG
'South South 7 East
'West
PHONE •
Size of Parcel
SS' 140
Zone Classification
AG. SuautzestN
ZIP
Type Const.
Occupancy
Q-3
Sprinklered
❑Ves ❑No 0 Req'd.
PHONE
luation Building Area in Sq."Ft.
1(520o• 56
ADDRESS
ZIP
Main Floor
Upwpor Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
lob CnVERGb
Finished Basement
Unf in. Basement
7.
TYPE
OF
WORK
I°J NEW
siBLD.
❑ ALT.
❑ PLMB.
IilAD N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
NO. Stories
Z
No. Rooms
1
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
R eq'd.
Recd.
Notjeq'd.
DESCRIBE WORK
8. p Ciril0n1 be 'Dont ouEt 6Ar aria
Enum. Dist.
Location (Area)
VALUATION
`S2cv
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
5evcnc.
Ownership el USE CODE
Public 0 Private
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 ///�_
O ` SIGNATURE OF.APPLICANT JY 4
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
?Jac tZ
Planning
o
Fire Marshall
Co. Eng
nee
Utilities
1 RS I fa
SE•A a
Bulidin• Technician
a pa
� l —
SPECIAL. CONDITIONS:
PERMIT IS NONTRANSFERABLE
/ ,0 At
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
1747:0.00
TOTAL $ c(o • OD
PERMIT NUMBER
SIA - 32S7
0'2* *5600
*5600 '6
325'62
04-08-8:1
2 6479,
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
' *5(t0'Oa.II--
DATE ISSUED
PERMIT NO. TOTAL