1981, 11-23 Permit: 81B-2108 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NU24Bc7,
R-861 SPOKANE COUNTY — BUILDING CODES DEPARTMENT —..,Z1(3'17
ei NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
IV APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 3 1 0.0 0
1. S. 3805 SKipworth
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 3 1 u. 0 0 ,1-7,
2. 3 1 _ Vigues Addition 33542-3203 * 3 1 O.0 0
OWNER PHONE
3 Joseph Mi chi el 1 i 924-6688 A *0 0 0
ADDRESSActual Set Backs in Feet
11324 E. 36th 19206 p�
North � 'South e East IWest� 2 0 3 1
)
CONTRACTOR PHONE Size of Parcel Zone Classification 1 1 2 0-8 1
Same 92 X 135 Single Family
4. ADDRESS ZIP Type Const. Occupapcy Sprinklered .g. 6 4 7 9,
V—N '5 til ( ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
58,380.00 2106
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
1434 ---- 648 ---
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. ---- 1434
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE 'NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 2 1 6 1
7. OF 0 OTHER -
AA BLD. CERTIFICATE Req'd. Recd. Not Req'd.
WORK 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area) FEES COLLECTED
8. Isidence, garage attached ,
VALUATIONIT
SOURCE GAS ELECTRIC WATER SEWER Ownership W/ USE CODE
9. 58,380 UTILITIES Commun. septic Public ❑PrivateXX
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 310.00
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 regulating construction or the
performance of construction.S E REVERSE SIDE FOR REQUIRED INSPEC 4S Plumbing
DATE OF APPLICATION iiiri SIGNATURE OF APPLICA '/ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Contr. Lic. (MI-CH-IJ-F199B9) 1-14-82 Plan Check
Env.N It
G ) /// 3 SEPA >-
a.
rD
Planning C)
Mobile Home LU
Fire Marshall %
Co. nginr Other(Specify)
_ ry
eAnUtilities 1 TOTAL $ 310.00
Plsps Examiner 1 -
• 1\ '' 1^r WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
wilding Te hni . _ PERMIT IS NONTRANSFERABLE .19. _;''x.56-,8IL1' `� 1.0.8 Z *3'1 Q 0 0 a. -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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