1981, 03-05 Permit: 81A-2052 Residence PLAN NUMBER APPLICATION/PERMIT t ERMli NUMBER 1
- 10'4-, I 3/5/ Y/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT
CI —
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Job ADDRE.S LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SU DIVISION g— /�h PARCE}„NUMBER S
2. Is i neV1�7Y Yit /4 5` "/ZS / • 1.-c p /344r 5`-2.5454-ixiDC '-
rn ,'°'T 4...---75.7-0587,6:5 .-dae 2. * 3 5 c 0 0
OWNER J PHONE a - 4-I Lt * c 0 C,
3. x,lg Da ffy Fiici1 12‘5)----51 7 2—
ADDRESS rZIP J Actual Set Backs in Feet 1 8 F
S g323 L ifs-./�'eA, 7,03 7 North 38 ISouth 2:5-7'; East I /S 'West 6S
n
CONTRACTOR PHONE Size of Parcel Zone Classification 0 2" 2 7- 8
(:;c,N o
G,/y �ivC!-f' 2c,s'X2.064226,X i(�.. . ,s/4.0.0 ' ,t. /
4' q
ADDRESS ZIP
Type Const. Occupancy Sprinklered
FeRiPO 7d ,Z l ❑Yes AN() ❑ Req'd.
DESI�ER PHONE Valuation Building Area in Sq. Ft.
5. (eryCVoi\i Mitre& --12i 172D A _
ADDRESS ZIP Main� e
oor Upp_
,\ r_Floors Garage Area Storage
560
CHNGE OF USE FROM TO /Area`of Decks Finished Basement Unfin. Basement •
6. /C'C)
No.Baths No. Stories No ooms No. of Dwellings
TYPE
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7• OF �I ❑ OTHER CERTIFICATE Req'd. Recd. Not Req'd.
WORK `C�.BLD. D PLMB. ❑ MECH. 0 M.H. 0 POOL
of EXEMPTION
DESCRIBE WORKEnum. Dist. I Location (Area)
8. JV ) Nom&/6,72e, C-_ C///..VFEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER� SEWER Ownership
Ownership I USE CODE
s. -72,12L> UTILOITIES eibicitLCJiiao+ t,,,,,-- ,c/4 Public El Private 118,�l
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 : ?2_1-32,CD
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or t •
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS J Plumbing
DATE OF APPLICATION 2-26 SIGNATURE OF APPLICANT`_= -Ili- / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE til Prk k 17c: CI:Ott:T e«of Plan Check _
Env. Health
MO l l e G1•n- SEPA
Planning r_>
— w
Mobile Home --
Fire Marshall ,_-'.
Co. s r&,,-
/�r,, Other(Specify)
Utilities /2 3 C^
TOTAL $ -7-. L .4. �� •
Plans Examiner
NUj- Tc.j.0 F i-AN4 /2.;.4=L/-60 1i:.,,f i:sif,e, WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE Q'5I4i9it* 8'�I , a: *, p J •
5'.' 2'0 5.2 2 3�'5'4 4 F
�rf � � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. 0 �L .
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