1981, 01-12 Permit: 81A-0377 DuplexPLAN NUM``BB��EP_
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. e. t0$2,O-'at T•4OR-PC
LOT BBLOCK
2.6 1
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
*PA tsstora Ata l-rtor4
OWNER
3. C-Ngcx..i
ADDRESS
RhTx-1
PHONE
ciZ8-Zesestfa
PARCEL NUMBER/S
Oct 543- 1805
8. 101ZC.9 1s'SR267 ba.
CONTRACTOR
ZIP
4giz0G
Actual Set Backs In Feet
North 3Z, 'south
East t(,] west \C..
4.
PHONE
ADDRESS
ZIP
DESIGNER
5' ADDRESS
PHONE
ZIP
Size of Parcel
lox 14
Type Const. Occupancy
y-9..----404.t-9..----404.tV luatition
--11OOS'
MainjinFloor
ISza
Zone Classification
(Ylo(LTi. Fgmit-y
Sprinklered
Oyes ONa 0 Req'd.
Building Area in Sq. Ft.
to -.
Upper Floors Garage Area Storage
576
CHANGE OF USE FROM
6.
TO
Area of Decks
240 UNG.
Finished Basement
1IOy
Unfin. Basement
TYPE L1J NEW 0 ALT.
7. OF �/
WORK M BLD. 0 PLMB
O AD N.
❑ MECH
❑ RPL.
0 M.H.
O MVE.
O POOL
0 OTHER
No. Baths
4
No. Stories
CERTIFICATE
. of EXEMPTION
No. Rooms
Ca 4'
No. of Dwellings
Z
Req'd. l Recd.
Not 21 Wel.
DESCRIBE WORK
B.'auFtEx Ce/C-01-1 �o 9
�tVALUATION
J•711wG
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
;URGE
OF
UTILITIES
A GAS ELECTRIC
WATER
SEWER
rCi�T1 C
Enum. Dist.
Location (Area)
Ownership USE CODE
Public ❑Private 14
DATE OF APPLICATION 'a -7-3C) —CO SIGNATURE OF APPLICANT •
SPECIAL APPROVALS
NAME DATE
EnviTh,.^ //7
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner •
SEPA Checklist
SPECIAL CONDITIONS: Lt CCN;B OIL
�`(j�- - i/c a }��/PJ�V^t//t.1 ,me�
1 //h//1 1J` `r
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
143.4q .60
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$544.00
PERMIT NUMBER'' -.
81 A -m371
02'* .*349:00
*349.00 173
*349.00
*000 S
A
37.'62 .
01 =` 1 2'- 8 1
g 6;47'9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3'7:7'Z;• *349.100Re
DATE ISSUED PERMIT NO. TOTAL
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0_ 0
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