1981, 03-13 Permit: 81A-2394 ResidencePLAN NUMBER -. .
I- 5/41-/7
30/e/
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
rJ B ADDRESS /
1. Il•op) MoF<t Roh)c'
1 I BLOCK SUlAVISI
2. rc, cal y i4fT A00,
ADR S Yi - r✓ K.o VV/ . f G^
ZIP_
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S 07 5-�,t o I
Actual Set Backs in Feet
North !/ ISouth_.7 East
(west 2.30
CONT ACTOR I
4. 711ArcN
ADDRESS
�50r, &. s Ono Pmt'
DESrGNER
5' ADORES"*
PPHHON (,/�0!
Size of rcel
I b y4 17 -0 -
Zone Classification
°Aril al M411 •
O 6
T pip Const.
Occup ncy
57,
Sprinklered
❑Yes ❑No 0 Req'd.
PHONE
ZIP
Valuation
CHANGE OF USE FROM
6.
TO
Iain Floor
Area Decks
Upper Floors
Building Area In Sq. Ft.
Garage Area �� Storage
,5?2-
Finished Basement
Ugfin. Basement
II 4--4-
TYPE
7. OF
WORK
INEW
cf/NBLD.
O ALT.
❑ PLMB.
❑ ADN. 0 RPL. ❑MVE.
❑ MECH. 0 M.H. ❑ POOL
0 OTHER
No. Baths
No. Stories
i2 -
No, pooms
No. of gwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
NNotyzed.
DESCRIBIE WORK
8. eiNGEGjI20
VALUATION
9.
FAO iv?
Enum. Dist. I Location (Ar al
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WgTER
SEW'
4,0'11°tfJ/(R-I{11
'G
Ownership USE CODE
Public ❑ 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 pr not. The granting of a permit does /jot presume
to give authority to violate or cancel the provisions of any other state or local law regulating consyf/}ction or the
performance of construc ion. SEE REVERSEQSIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION •Mh �• C-1. (,1 SIGNATURE OF APPLICANT�j��-�
SPECIAL APPROVALS SPECIAL CONDIT ONS:
rip
NAME DATE IFINkr LAC. 24 -Z --o I - PJ
-' II s: KZ " ///%i
Env
Planning
Fire Marshall
o. Engineer
c4i7rf -03
Utilities
Plans Examiner
Tom- rl
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ .?(oceo
PERMIT NUMBERatiliallI
ate ��-
02* *29800
•*29800
4
'*2980.06
A *000 S
2202 A
03'=09-81
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0!31!13i;t
2f) 9.41 Al2.9: 0:.0
DATE ISSUED
PERMIT NO.
TOTAL
Lri aS�pl I'�7
N1 -17 -al S • FI ES 1slu.
P4 oriec-1--%pr -1- P N r zao
cttJgflCL D 5141,1e�.4t�EP;flLa-4 r1Ct5D.l.