1981, 07-30 Permit: 81A-7630 SidingPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT'S
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
l.� APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRE LEGAL DESCRIPTION — SEE ATTACHED
,. + 5i(� (Inlnn
G
O
ER
PHONE
3.
ADDRESS
ZIP
Actual Set Backs in Feet
j:on
����.,�//
1
ril�C7
North South East West
CONIRAT
PHONE
Size of Parcel
Zone Classification
t'ilGv
$-
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
❑Yes ❑No 1:1Req'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 LI NEW ❑ALT. EI AD'N. EI RPL. El MVE.
7, OF OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
r
of EXEMPTION
DES RIBE WORK
Enum. Dist. Location (Area)
, 4 ti
$
FEES COLLECTED
VALUATION
SOURCE GA
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9
OF
UTILITIES
Public ❑Private ❑
i
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
001,
DATE OF APPLICATION / 7 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Env, Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Plan Check
SEPA
Mobile Home
Other (Specify)��
TOTAL $ w X41
02* *50.00
*5000
A *0 J0
762.9'
07-30-81
5479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
IdinWFechnic — ,� PERMIT IS NONTRANSFERABI I +017'- '9y'-'8!'1
7 6 a 0 Z � 5 0. .0 0.0