1981, 09-21 Permit: 81A-9635 ResidencePLAN NUMBER APPLICATION/PERMIT
1� SPOKANE COUNTY — BUILDING CODES DEPARTMENT
F NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. S . +SSS S "b c2 E LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK I SUBDIV1510N I PARCEL NUMBER/S
OWNER
3. Amazir
ADDRESS
5:1330
PHONE
534- SDS $3 1
ZIP Actual Set Backs in Feet
1
C North South
3c7'
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
m&
8-)° (:!;:j:
��vVc�LE mtL
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
L I
R3jM.)
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONEVal
ation
Building Area in Sq. Ft.
r �-� i ar,4-
45+
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
-?
4�
4
--_- --
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
—
J
No. Baths
No. Stories
No. Rooms
No. of Dwelling
TYPE
11ElBd f�EW ❑ ALT. AD'N. RPL. ❑ MVE.
I
y
-A-l
7, OF J El OTHER
LLL���JJJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd
WORK
of EXEMPTION
I
Vol
DESCRIBE WORK
Enum. Dist. I
Location (Area)
FEES COLLECTED
$ � I � AV `
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
UTI LITIES
I
ate=
Public ❑ Private93
Single $
I hereby certify that I have read and examined this application and have read the
"NOTICE" provis
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances
Building'
type of work will be complied with whether specified herein or not. The granting
npresume
of a permit doesto
give authority to violate or cancel the provisions of any other state or local,
constr
performance of construction. SEE SIDE FOR REQUIRED INSPECTIONS
Plumbing
iREVERSE
tI DATE OF APPLICATIOhIt(: C-1 SIGNATURE OF APPLICANT \
AA
Mech.
SPECIAL APPROVALS
NAME DATE
Env. ealth /^
/ tJ
Planninq
Fire Marsha
Co. ngmee
Plans Examiner
%4 nIi OC®Il
B,µ ,ilding Technician
11 �%/° i P1
L CONDITIONS:
Apcuco SE. -r vie ?(–KPV,
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 31,4:7-0
WHEN MACHINE VALIDATED IN
THIS BECOMES A PERMIT.
t:
PERMIT NUwlf R—�
8IA-q(o-35-7
02* *247.00
*2x7.00 u
*247.000
A *0.00
877.1
09-01-81
6,470.
E,
96 15z *2.4Z '0 a. -
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