1981, 12-04 Permit: 81B-2450 Repair Fire Damage PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 'ti3 -,),Irc5C)
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)`456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0L * * G 15 .00,
�
1. S. '351 117G,EVr,l
it) r LEGAL DESCRIPTION — SEE ATTACHED , J
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. I a. 1-5koranivitea. E`a i AiC.7
* 2 1 5.0 0
OWNER PHONE
324-1- i in Z
3. 2-hc 1kRZ i 4`�r u.i J It * (-, :' 0 ^,
ADDRESS ZIP
o Actual Set Backs in Feet
4.3s.1 S R I OL_lE.Vi(au /i :(v North (South East (West 4 4 C,
CONTRACTOR PHONE Size of Parcel Zone Classification 1 '_, 0 O— , 1
L
�E 3ci� iZEC D(JSiQLA itO(tit £ S 5137 ,
4' ADDRESSC ^� 1 �ZII/P,^� >�r Type�Clonst. Occupancy Sprinklered �' 7
E. , 7I'Z 1 (7T ci`�t,.K.Jc..► . cc. "R-J ❑Yes ❑No 0 Req'd.
DESIGNER PHONE V ation Building Area in Sq. Ft.
5' �J� Jb
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin, Basement
6.
g/
No.Baths No. Stories _ No. Rooms No. of Dwellings
TYPE
❑ NEW ❑ ALT. ❑ AD'N. L`� RPL. [1:1 MVE.
OF ,-,�, /BLD0 PLMB. ❑ MECH. ❑ M.H. 0POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not�'d.
WORK LY .
of EXEMPTION
DESCRIBE WORKEnum,Dist. I Location (Area) '
8. REPAIR ciQ� DAM caiE I FEES COLLECTED
atjeVALUATION soUOVE GAS ELECTRIC WATER SEWER Ownership / USE CODE
)OC UTILITIES Public 0 Private
LrJ!
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 17—t�'CO
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 Plumbing
<.
DATE OF APPLICATION SIGNATURE OF APPLICANTS . AGO' _ - Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: (1GA1y(LV .,'
au
...4.
fL
NAME DATE Plan Check
Env. Health
SEPA o
Planning C)C
Mobile Home J
Fire Marshall ti:
Co. Engineer Other(Specify)
Utilities
TOTAL $ al S'CO
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
`
�'lding/T chnician PERMIT IS NONTRANSFERABLE 12'�0 4'8 1 2 4 5.0 z *215. 0 0 a F
-)' 47 j f'.1C1711
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL