1981, 04-13 Permit: 81A-3410 DemolitionNUMBER 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, I
r�i� Wc> LEGAL DESCRIPTION -SEE ATTACHED
LOT I BLOCK S PARCEL NUMBER/S +
2.'� V7
OWNER PHONE
3.
ADDjRRESS
ZIP
Actual Set Backs in Feet
r-
. ]-;2(21!216
North South East
West
CONTRACTOR
PHONE
Size of Parcelf
Zone Classification
lam® C0�
G"O M vctr
4, ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation atl,7
Building Area in Sq. Ft.
/00
-7620
5.
ADDRESS
ZIP
Main Floor I Upper
Floors
Garage Area
I Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ��
7, OF / LJ OTHER
93"EIPLMB. ElMECH, ElM.H. ElPOOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8 5� 7 I
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE Cjed
9.
OF
I UTILITIES
Public ❑ Private ❑
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions incl
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing
-
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not pres
to give authority to violate or cancel the provisions of any other state or local law regulating construction or
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
�
fi
DATE OF APPLICATION 1 v SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
r3uildi n i ian
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Q
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0'4.i- 13 -'& 1' 3 410 z
*2100COL P