1981, 03-13 Permit: 81A-2393 Residence(PLAN NUMBER 'rte -
i B/A- 79 1 31/43/8/
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
IJ�I{OB ADDRESS �./� �y�,� Ko
1. LOT 13 I (/Q /' ' lU f`sv N jW f7
2. 5 1 p4aJ' S j`itpT mor
PHONE
/rlADDRRESS_ .�i�lIi9ZIZ/IPGl�
�^EC
CON?RAI� "JUCJOR ye�IMPiov4vi
4 ADC/FESS
7-7 ` 720 , 6. Irarnn f'
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
&75541 --
Actual Set Backs In Feet /7 '7
North f - 'South a / (East 3 o west
Size of Parcel
�r k loo
2{ i C assbe?
ZIP
Type.Const.
Occu
1216
5.
DESIGNER
PHONE
ADDRESS
ZIP
Valuation
51
3- 24.0
ncy
M i
Sprinklered
❑Yes 0No 0 Req'd.
Up eo r Floors
Building Area in Sq. Ft.
Gysage /:area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks •
Finished Basement
7.
TYPE
OF
WORK
Y�d�N EW 0 ALT.
Lf BLD. 0 PLMB.
O AD N.
O MECH.
O RPL.
❑ M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
s2
Unfin. Basement
IINo, Sooms No. ofD ellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not R cf.d.
WORK
8. DESC 1 �C LV ,-I i V I / CINWVI0
VALUATION SOURCE GAS EL CTRI WA ER
OF
9. UTILITIES
Enum. Dist.
Location (Area)
_SEWER
��'Iwo
Ownership` SE 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 n. .resume
to give authority to violate or cancel the provisions of any other state or local law regulating constru- tion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 4 I/'. • 1ein 1 SIGNATURE OF APPLI
SPECIAL APPROVALS
NAME DATE
Fire Marshall
•/Co. Engineer
o9�
at
Jj/ Ir lS 1
Plans Examiner /
TDM Po>?WMT 3(G/g
SEPA Checklist
NT
SPECIAL CONDITIONS:
- I�
u c (2-2.3 -01-41- M r -9N V4
M/kl cotifrv-
uildMR Tec
PERMIT IS NONTRANSFERABLE
k7 5/91,)
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PE Rfn (J Ate ER I
04-
02*
4 -
02* *2980.0
•*29fl0.0
•*2980,06
A *00.0
2200A
03-09 -8,1
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1311-18 11
DATE ISSUED
2i39.32 *2.9'd0'0aie
PERMIT NO. TOTAL
(FI.PL'Jftj
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