1981, 03-23 Permit: 81A-2678 GarageNUMBER / 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
LEGAL DESCRIPTION — SEE ATTACHED
,.
N, ai3 KAr1141..t.► c,.
LOT
BLOCK
PARCEL NUMBER/S
2.
W
1 5
ISUBDIVISION
V&QAVnL- PA¢,',t
Aool,-rcoA)
OWNER
PHONE
C16v1E 14ACV-NV/
X36-13G�
3.
ADDRESS
ZIP
Actual Set Backs in Feet
F-- u0(/ 3S -11'k
q42173
North South -2S
East 23I West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
r rvL SIMr�rTH R t:IC_ie.
QZA -•4ms
I139E&MLA&
S�uc �Am it.`I
4.
ADDRESS
ZIP
Type Const.
Sprinklered
lko& 1� `Ji�[71C(�il�l� SAM.
1PAVZJG
r
61421(a��
nO�ccupancy
PA -1)Q3
❑Yes []No ❑ Req'd.
DESIGNER
PHONE
valltation
Building Area in Sq. Ft.
LAAgutru o¢Gt
102,<1--(ddo3
;U*
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
W. ISZo `37-4) SUrfE a- lot
01420 •
--
.384
1
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE NEW ❑ ALT. NJ AO'N.
11 RPL.
ElMVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
1
7,
OF
BLD. ❑ PLMB. ❑ MECH.
❑ M. H.
El OTHER
❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum Dist Location (Areal
8• AmACAd�a C1Awk& wl SLm FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
UTILOITIES lSL�Pf1 C Public ❑ Private
Single $
1 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 in,,
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 regQating construc ' or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTION / Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT % Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: v
NAME DATE
Planning /
Fire Marshall
Co. Engineer
toe
ns Examiner
ng Technician
/r i n
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
P-:1
ERP.,i:IT NUMBER
�= 7
*J W
W
* 8 0 0'
A
267 7
0 23- F 1
64 7
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
03!7213'—'8 1 2 6 Z 8 `z
Q
*38,0a,I,-
hire ���� r�_es
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