1981, 01-27 Permit: 81A-0961 Remodel, Renewal of 80-0446 PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
1/` ��k/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT VA- - c7. ,t`� f
O.) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADUItESSCI 2 * * i 0. 0 0
1. e-- - 12- 7-- ( i keg, -�. LEGAL DESCRIPTION - SEE ATTACHED
0
LOT BLOCK SUBDIVISION )0 PARCEL NUMBER/S
3.
OWNER N �c PHONE-ec?i-7 01 -27-8 1
ADD SS,ri��-. l � IAF. ZIPS '} Actual Set Backs in Feet i-='p ' 6 4 7 9
.z L ` ! `4 et +0 [ ' 1/ . c, North ' 'South �d y7 East 4 1 � (West ��
CONTRACTOR PHONE Size of Parcel Zone Classification
4. —�,�� 14-u ACIl°�I'C:-.
ADDRESS ZIP '��Ty a onst. Occupancy Sprinklered
c ❑Yes ViNo ❑ Req'd.
DESIGNER PHONE Valuation 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
❑ NEW e2:LT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER -
WORK +BLD. CI PLMB. CI MECH. CI M.H. 1:1 POOL CERTIFICATE Req'd. Rec'd. Not F;eq'd.
of EXEMPTION �/
8 I is .4. "IBE WORK I Enum. Dist. Location (Area)
I'vi 6 coC LJ f — "r . 4-�jrC ( ,) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC ATER SEWER Ownership USE CODE
9. UTILITIES 1,C.:., Public ❑Private ga
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 16- _
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 C�i-..- ISIGNATURE OF APPLICANT }-'7 Alf r" e `t-...—o. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /
NAME DATE I�,,�/J, ,�j�tl Plan Check
Env. Health `�':-`I��� �L �I? ex) - 041-1--(e,
SEPA '-
Planning 0
U
Fire Marshall Mobile Home
U-
Co. Engineer Other (Specify)
Utilities
TOTAL $ 10
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ding Tuan , PERMIT IS NONTRANSFERABLE 0 1',., 2'7 2'7 8 '1`
T 9 6.1g *1104013, 11:' -
_r--'.�` i
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL