1981, 03-16 Permit: 81A-2446 Siding PLAN NUMBER APPLICATION/PERMIT
,3 // �` PERMIT NUMBER
0...) / / / SPOKANE COUNTY - BUILDING CODES DEPARTMENT Bilk '— "Z414 ,NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 38. 00
1. C. 11 7 /-j ? ,ckew LEGAL DESCRIPTION — SEE ATTACHED
* 3 8 0 0
LOT BLOCK SUBDIVISIO PARCEL NUMBER/S 62_641....2f.J
2. S t " REASUJODO onLt{�a��— `3aoru 151 Rvorttmw �'`D� * 3 8 0 0
NER PHONE FD
3. DO-Mon WIrtsi_halt r `.ii--333g * o.ov
ADDRESS�f ZIP Actual Set Backs in Feeb ,en. 2 4 4: 5 z.
_ I-T i] ) 7 ROcic cut) Cl_ qqA 1e North 'SouthEast 'west 0 3- 1 6-8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
4. m C.J(Li i Br- rs Can-' a-rocs gd v-46,86 - t-at[U.Ltue.AL._ 6 4 7 9,
ADDRESSA, / J ZIP
c/��Q 1 /�/ T. onst. Occuplancy Sprinklered
,v , 3lo10 9611 of) Road L ,10 l0 —.J Oyes ❑No ❑ Req'd.
DESIGNER J PHONE Valuation , ,,,..5...6:76,e,. Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF �I�SLOTHER -
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL '7�. �r� CERTIFICATE Req'd. Recd. Not Ir.
eCl of EXEMPTION 'V/
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
,*
N8. o.Ba•SO RCE GAS ELECTRIC WATER SEWER
����'�� OF rr,,.. Ownership USE CODE )
9. UTILITIES Public 0 Private Single $3S 0ef
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 e
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
�� /
Q �
DATE OF APPLICATION ��/p SIGNATURE OF APPLICANT f / if,Ahl Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
Nol 1Rej `O SEPA y
Planning p
U
Fire Marshall Mobile Home
Ui..
Co. Engineer Other(Specify)
Utilities /-�
TOTAL $ 3b��)) ,0U
Plans Examiner
h)'oT 1EQ`0 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buil ing chnic PERMIT IS NONTRANSFERABI �'3i 1 6 -'8 1 2 4 46'z '318.0 0 Q I- -
�. �/ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL