1981, 04-10 Permit: 81A-3362 ResidencePLAN NUMBER -Y^ ,
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1/2/eft/
• 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
2.
3.
4.
5.
4)8 ADDRESS
I $-.O
LOT
°A"ei L N
ADDRESS
9303
CONT C
ADDRESS
DESIGNER
ADDRESS
BLOCK
_TJ
01<ii6, GOUR
LEGAL DESCRIPTION — SEE ATTACHED
s63,vl; -IIS ri A5 -r /C10:/ - zip 4"hP—'
SI 9 ior.J
%• 131Rot,0h
1755:Nef
-033
ZIP
9,2
PHONE
PARCEL NUMBER/S
0 7 5"41- - 2-09 3
3
Actual Set Backs in Feet
North ISouth' ?3
East 3O
Size of Parcel2-4107(
o Ves
i
'West 3 o
Zone Classificatiori
61
ZIP
PHONE
J°i'1ei
ion,
Valuat/ _
T ytp[
Const.
Sprinklered
DNo 0 Req'd.
Building Area 3q. Ft:
ZIP
3
" in 1
Garage
Upper Floors Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK -
/NEW
IJ BLD.
TO
Area of Decks
Finished Basement
Unfin. as Tent
.13
0 ALT.
0 PLMB.
0 AD N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
O POOL
•
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of ?welling:
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
N ot�1q'd.
D SCRIBE WORK
8. k�t2 c' v4/ f
4ASVALUATION SOURCE
ELECTRIC
SlitfyItoOF
UTILITIES
Enum. Dist.
Location (Area)
Ownership
Public 0 Private
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 violate or cancel the provisions of any other state or local law regulating constructio)ior the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION([? r ' (71(11 SIGNATURE OF APPLIC
APIII& c%1 r ilktk Cr5
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall_
Utilities
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE PERMIT NO. . TOTAL
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA.
Mobile Home
Other (Specify)
TOTAL
$ 2418, oa
PERMIT NUN/43ER
BIA -33(.0Z-
02.*
33G z-
�1
02.* *29800
*29800 17)
*298006
A *000 8
32,2 7
04-08-8.1
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
DATE ISSUED
3 3'62'Z, *I2 9r8.0.0.ti -
-t _.
•