1981, 02-27 Permit: 81A-1895 Remodel PLAN NUMBER
1.
:V•7/7// yiff
APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT OM- / `
�/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
g APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS V G * * G 9. O U
LEGAL DESCRIPTION — SEE ATTACHED
1 LOT BLOCK SUBDIVISION PARCEL NUMBER/S .e9V-5.4 --.:2 //..,•
2. !o%E /w /34A-7 . /./J 4,, fe,.5' 44,47,12 ; �? c /r
OrlaN yry
, 7
3.
••,(.../A-'144-,' ••122/2,,16 %fi s7 J 9•2 Tj/—&.?.-& . 0 —2 7 — 1
ADDRESS ZIP / Actual Set Backs in Feet Ex, -7„;„,41,, e/ i,44.4 _-
7,. /4 4414f-e& 6,-,-.,
67 51 441ff- { J - 9/Z�6 North (South Est West O
CONTRACTOR PHONE Size of Parce) ,,Q-,c l Zone Classificatiio�nn
4. ADDRESS
'_ ,-i"•3x/59. 4-5z`�/AL1l ✓.a,uL��
ADDRESS ZIP Type Const. Occupancy Sprinklered
_ e1,42'1—ii V=A/ '? 3 Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation G Building Area in Sq. Ft.
5. /ADD 96V i it -A-l'D67 .4_
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished_B asement Unfin. Basement
6.
TYPENo.Baths No. Stories No. R oms No. of Dwellings
0 NEW ALT. ❑ AD'N. El RPL. ❑ MVE. /1J'
7. OF JX1 OTHER /
WORK
0 BLD. ❑ PLMB. 0 MECH. 0 M.H. _ 0 PO L CERTIFICATE Req d. Recd. Not Req'd.
jr�z�. -AdcIL of EXEMPTION
DESCRIBE WORK //?? • Enum. Dist. I Location (Area)
8. 1-t4L4,4-1-X1411-1,1, !/`/�-iICh L.-LL+C�s I FEES COLLECTED
VALUATION, SOURCE GAS / ELECTRIC WATER SEWER Ownership USE CODE
OF
9. /'to7.UTILITIES Public 0 Private R 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 this Building ��'-
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 (J Plumbing
DATE OF APPLICATION ` 7'�q/ SIGNATURE OF APPLICANT ->,11.4 p7 Efil�_•./. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
M/ri,)P ie, i1,7 AOE.L — WI ,_34--R//✓ii- PA R TPWA45
SEPA
i2
Planning _
,C7>Q:!iAJAi,-k - RE,-,1Ale,SR Pz-eVR5 - /�(/TCif,EN C 48,/✓, om: _ c.)
Mobile Home '-',
Fire Marshall PA i Ai T At -_1
117.
Co. Engineer Other (Specify)_
Utilities 6
TOTAL $ ;29
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu-ding Tec nisi 1 PERMIT IS NONTRANSFERABLE 7 Q n n [� (�
A 1 1A �A i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE `7-81 PERMIT a 9'5 2 *2 IdliThE•I—