1981, 04-07 Permit: 81A-3160 Remodel PLAN NUMBER u/ APPLICATION/PERMIT PERMIT NUMBER
7` 7/8/ SPOKANE COUNTY - B'GILDING CODES DEPARTMENT //t - -)/ '
I� f NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
J APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
Jo ADDRESS ,/ ' jr LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION4rj PARCEL NUMBER/S � B_._ . ,7 O 0 Y
C'
2. O ,NER PHONE 1..1 7-
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3. r _L .�� 'tiY r� * . rl r
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A9DRESS //// / 1, ,J.-
',,-/,.:
/ ZIP Actual Set Backs in Feetr�/`- �,� �r.L.Z.4-0 4 J 1 5 `/
` /u','1.1 4`/�//v1 H-t"iyci.A P� ' :2-.-A.A4 f , ?�`��5c 7 North 'South l East•1/ West
it li-Y 0 7_8 1
CO TRACTOR PHONE Size of Parcel ) Zone Classification
_ , _ �/ � 6
4• 0,4_44,(:2._
ZIP Type/:-.1-e, A.,_!,
�� Occupancy I/lfi/Spri klied 4 4 7
ADDRESS F�.�
//f." 1./%V -3 Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation .7..)ADDRESS ) Building Area in Sq. Ft.
5• ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
RI ,�NQ.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW yu ALT. 0 AD'N. 0 RPL. ❑ MVE. 0 OTHER 11'/" � -I - Req'd. Recd. Not Req'd.
7, OF CERTIFICATE
WORK ❑ BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRJBE WORK i Enum. Dist. Location (Area) '
/1
' ,�, I FEES COLLECTED
8. '/'/ �y_/✓2 '- A 2 -a -' ,0/i r'.� .rte,ei,j, I
1, /����. -��i�
a VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
}"^3 LI Public 0 Private V)
/j/1!i UTILITIES Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included 0°' _
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 the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONSPlumbing
DATE OF APPLICATION 4' /� / SIGNATURE OF APPLICANT` ' \-- e' T /�-2-2"- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE / f ;/ p A a Plan Check
/ - el:
°!. ✓-1A---(1-1.✓ "1
Env. Health \ s,� � .t/f-.0-14-
-7'/-,(""11 4X-i_ia1 /�1 ///�', // ��l �7 -# SEPA
Planning XX X „�- -YJ.F': �.. -�� '�'""• �.. � :.�...(.-�I..�. i s - _ r
t,
//'� , �p�� i � � Mobile Home
Fire Marshall �r�4 (/a�iY .L sy/ hT'✓ /yrl - � �'/
Co. Engineer, . �: /�/, Other (Specify)
'�. - .. J/A-L/J- .L- ';2`:7
Utilities TOTAL
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
By jldirg T chn an--�- PERMIT IS NONTRANSFERABLE 0**a�7 ,'8�1 3'1:6,0g *3 a 0 0�2 0
�4'J it/i,Gf..l - PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
scats;
. . . .
300
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