1981, 04-28 Permit: 81A-4022 Residence PLAN NUMBER APPLICATION/PERMIT PERM: NUMBER
Q.-c'iA •Vit., 11-28/81 SPOKANE COUNTY — BUILDING CODES DEPARTMENT E/ 4D-Z-2-
- NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES U 2 * * 2 8 9,U C
JOB ADDRESS1. "t
S_ 4"Sta r Ain! (Y\tow:TEC LEGAL DESCRIPTION - SEE ATTACHED * 2 8 9.0 U
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * [ 8 9, U Q u
2. F I 't�alO2mr '?tNC. tit 1040.0 ova /
OWNER PHONE 6 1-/q /k() A * O,U U J
G
3. ARA Rink £L J3T, 4Zt-244 v _ /
ADDRESS\� ZIP Actual Set Backs in Feet / 9 1.6 '
E. i0 .ZL' k(L2 i^zz'. North 30t 'South 15t East )6 'West 1n' 0 4-2 U--8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
54fWg i00K15D 5tN6L6_ I0w1Ly c3 6.t 79,
4' ADDRESS��/ ZIP Type Const. Occupancy Sprinklered
iiirl2-.3/ „i
Elves ❑No CI Req'd.
DESIGNER PHONE
kluation Building Area in Sq. Ft.
iii 040
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
g10C) 4D44o
CHANGE or USE FROM TO Area of Decks Finished Basement Unfip. Basement I
6. ".. 4OU
No.Baths No. Stories No Rooms No. of Dwellings
TYPE
NEW ❑ ALT. 0 AD'N. ❑ RPL. 0 MVE. Z Z
7. OF ❑ OTHER -
WORK BLD. CIPLMB. ClMECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Notyteq'd.
of EXEMPTION J
DESCRIBE WORK 1� Enum. Dist, I Location (Area) T
8. J i rk16 - Ft/iYh l -f k.Ebt l ah c L'1*061 Lr t"FItoci-k 6 I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9, .61,5A- OFUTILLITIES 5Ep(t(_ Public ❑PrivateEil
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 2±4.0')
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 re ulating construction or the
performance of construction.SE REV SE SIDE FOR REQUIRED INSPECT' Plumbing
J � �{ /f
DATE OF APPLICATION / SIGNATURE OF APPLICANT ��'l0f ie
( Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
p
NAME DATE �JPlan Check
EnaltYk�-� „_� Va,/�l1 "��fJ[� SEPA >
Planning
C7
Mobile Home `-i
Fire Marshall ._J
LT:
Co. Engineer Other (Specify)
OOKCA, -2J-F/ TOTAL $ 1`0°
Utilities Q
Plans Examiner J
J 7
•-1776 Pvs�14��`r4f 21
WHEN MACHINE VALIDATED IN THIS SPACE,
S P Checklist THIS BECOMES A PERMIT.
Building Technici� � PERMIT IS NONTRANSFERABLE r. c3i ii
`/] (t���f/�/ a 's8- ��;1 40222 289.00a�
�" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE' PERMIT NO. TOTAL
•
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