1981, 06-10 Permit: 81A-5782 Remodel PLAN NUMBERAPPLICATION/PERMIT PERMIT NUN 57 82-f3/i- 273 I SPOKANE COUNTY — BUILDING CODES DEPARTMENT b��
el
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS C ' * * 1 1 6 0 0
1. 3. 31/4 /Av*V'oA/D C/ec-E LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK S}�$DIVISION PARCEL NUMBER/S
1 `. a uh;
2. 5 4 C#,/ ,S7E� Le_z_J s.
29.5-11-096).5--9W * I 1 C ..J l y:.
OWNE PHONE
3 ADDRESSQ (/�" P /� Actual Set Backs in Feet
3
Y . 3//4/ R4 1,79OA),.� C/,ZL.E 3/ZO�o North (South "" East 30 (West ` J `J
CON ACTOR P.,,LIONe Size QfParcel Zone Classification (:) G—2 6—
KoBEAT A . !0. 4, gte, 782 6),< 10v AGglci4 ruRkt-
4. SS //�� Zp�p�a Type Const. Occupancy Sprinklered G, 4 7 9,
AD E
!/D/9 U.t/Da4t/N C/4 ! / Za"l V-N IZ-3 Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
/'lm, coo 106
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 10OLtm.,• -
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE El NEW L' EiLT. AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not �€q'd.
of EXEMPTION Y/
DESCRIBE WORK AjplfjpcGX- T6 E%IS71hic 1Z4.5iVIE.Nc.e_ Enum.Dist. I Location (Area) FEES COLLECTED
8. Z .ntopcL. ev -riNU KrccNEN, MAW- IN EX cM.P leT To CTAP-Aiif£- I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership /USE CODE
9. Io/ CVUTIOF
LLITIES Public ❑Private Ff Single $
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 thisBuilding I I &r
type of work will be complied with whether specified herein or not. The gran .f a permit does not presume
to give authority to violate or cancel the provisions of any other state or loca law egulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEC ION' Plumbing
DATE OF APPLICATIO Airs. SIGNATURE OF APPLICA ` „I ! Mech.
SPECIAL APPROVALS SPECIALCONDITION,$: � `� Plan Check
�j
NAME DATE �o t•I'11 G 1,1<, —d, is )/{T �0 ) 1 -. / 7-0 /
En"' ealth „"
6/17/ SEPA >-
+L
Planning 0U
rli
Fire Marshall `
I00 NOEC 200.00 Mobile Home
ZD0: J
Co. E gineer ►S4N`C ,C `J
� ,e1.eV Other(Specify)
Utilities
IL;r TOTAL $ //'
Plan Exafniner ?}0 r)
I . t)� i= (, ��.. �,L�X.1,--�r'� WHEN MACHINE VALIDATED IN THIS SPACE,
SSP Checklist r THIS BECOMES A PERMIT.
�. �� If: ii p�
B g T n PERMIT IS NONTRANSFERABLE 0'�'u' �g l 5 7 $,2 °z *11 6.O O .F
L�1 v_��`� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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