1981, 06-23 Permit: 81A-6259 Residence PLAN NUMBER n
APPLICATION/PERMIT PERMIT NUMBER
10.%COUNTY WILDING CODES DEPARTMENT ��°- . &t
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
, es.)
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS V 2 * * - 1 O.00
1 '?�O OI 'IA rki -f RO� LEGAL DESCRIPTION - SEE ATTACHED a r (J
2
LOT BLOCK SUBDIVISIONVia �v� PARCEL NUMBER/S ; * `
I Y+►VIUI tlf 3�5 2- - C72 > 1 O.006
3. Ow--Joy 160 I HIAA R ` AtUE Dig A * C C cl -
ADDRESS Actual Set Backs in Feet 55 8 2`:
13 3! J�IP9 CA North ✓ 'South East 'West aO
CONTRflC OF2 PHONE Size of Parcel�� Zon�Se CIIsification -0 6 1 2—8
� ilyJ /vim 1 /,may'
4' ADDRESSZIP 91e Const. Occu a c sprinklered 6.4 7 9.
���� oyes
❑No ❑ Req'd.
DESIGNER PHONE Valuatign90 Building�ri�q. Ft.
5. ADDRESS ZIP Mid- er, Upper Floors Gaar--agLArea Storage _
CHANGE OF USE FROM TO Area of Decks Finished Bas t Unf'n. Basement
6. -- I�-34-
TYPENo. the No. Tories No. Rooms No. of Dwellings
NEW ❑ ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF / ❑ OTHER
_ CERTIFICATE Req'd. Rec'd. Noted.
WORK BLD. 0 PLMB. 0 MECH. ❑ M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) 1
$ 1:51101,01\166)7 --r ,, --et"---e--e44,--,
FEES COLLECTED
-'f:� I
VALUATION SOURCE AS TRIC CM
i'.W T oSEWER Ownership ,(/ USE CODE
OF
9. UTILITIES (, , •C/� 1.{IG Public I:]Private in
1 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 31 Building d _
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 e cancel the provisions of any other state or local law regulating construction or the
performance of construc '.n.S E REVERSE SIDE FOR REQUIRED INSPECTIONSPEPlumbing
DATE OF APPLICATION / ~Li/ `'STATURE 0APPLfCAT Mech.
SPECIAL APPR• ' S SPECIAL CONDITIONS:: /j /
NAME DATE ` .� . 4., - ) I Q 2- PlanCheck
Env a th (J
.� Vr ... SEPA a
Planning OCD
Mobile Home u-1
Fire Marshall —J
u..
Cq Enyin er �V 6 Irl 1?), Other(Specify)
Utilities IJ��i/ t�
TOTAL $ ✓ 0
Plans Examiner
-ram ro,-rixi vJktf WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu' T nice PERMIT IS NONTRANSFERABLE 061 `� _'8'1 6 2 9 z *131.0.0 a'
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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