1981, 06-26 Permit: 81A-6368 Gasline PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY = BUILDING CODES DEPARTMENT
0...)
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,,--, • , .. ,,. ‘....., ci.......x_k_ o-403._ LEGAL DESCRIPTION - SEE ATTACHED 0 * *.1 2.0 0
1. 439i 3
* 12. 00
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. -
* 1 2. 00
OWNE '---- PHONE A * 0, 0 0 9
Z Actual Set Backs in Feet 6 3 6 7 8
ADS/ 3 7�I I( c ; r ck��� ��� X11 ��, / L+" y t - North 'South East West
CONT ',ACTOR, 99 19��- .� —�—�y PI�OJNET� 1C Size of Parcel Zone Classification 0 6 2 6-81
�j '' --jy,� }J (04--P)---E
�, „E:L -o 6,4 7 9,
4' ADDIRMSS , (; / ` ZIP�y ` . ( Type Const. Occupancy Sprinklered
( - /j C T -1) -0-,1--1-- / ;�T'` `f; ❑Yes ❑No 0 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 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OFD OTHER
'
WORK 0 BLD. 0 PLMB. MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
CRIB ORK � y-- Enum.Dist. I Location (Area) T
8. i.:.;.! -0—.3 __Je...",....4,-..._ -A...24.....A_A ts-A-. . /- Lt i
FEES COLLECTED
VALUATION SOURCE , ELECTRIC WATER SEWER Ownership USE CODE ,
OF x �I
9. UTILITIES /W Public ❑Private 0
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
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 SIGNATURE OF APPLICANT Mech. -4-t"
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE c: f Plan Check
Env. Health / // /_- 3,
� SEPA '+-
()
Planning
r)
Mobile Home
Fire Marshall
Co. Engineer Other(Specify)
Utilities
TOTAL $/;)---%.-+�
--
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building hnician PERMIT IS NONTRANSFERABLE 0��6'-�2�.6;-81 63'6.8z *12.004'..
�5� � Q7/.70---xi-iePERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL