1981, 08-10 Permit: 81A-8005 Residence PLAN NUMBER —I .# APPLICATION/PERMIT PE�� '-'BgC�D
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" eiA - f,_' SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS G G * * 3 iJ 4.G G
� o PAAQQ LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDI I ON PARCEL NUMBER/S
* 304.00 3
2. PONIV2A -PiNcS 1sl. * 3. 04, 001
OWNER PHONE C5'544`- 14{6z. A ,I '"
3. O.ARM Rpciat &..tSr, C(2S..14d
ADDRESS ZIP Actual Set Backs in Feet i 7 8 9 3
E.10ti 2(„ F=�P.-.c"S eaZ�c JG North 54, 'South tZ' East 3S 'west 53.
CONTRACTOR PHONE Size of Parcel Zone Classification 08- 0 7-3 1
SAmg .'1 1ZVAtJ �%FYCILC VAIL%iL.'"1 cp
4' ADDRESS ZIP Type Const. Occupancy Sprinklered 6 4
�.JAMCi -S1-tr 2.' iM—i Oyes ❑No ❑ Req'd.
DESIGN Y: PHONE V luation Building Area in Sq. Ft.
5. VP `J(r.li VAC, 17c(.,
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
1 i3(..- "130 GaloU
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. --- _e,4-
TYPE / No.Baths No. Stories No. Rooms No. of Dwellings
Lid NEW ❑ ALT. D AD'N. 0 RPL. 0 MVE. Z Z. C1
7. OF 0 OTHER
WORK d BLD. 0 PLMB. 0 MECH. 0 M.H. IDPOOL CERTIFICATE Req'd. Recd. Not Rpq'd.
of EXEMPTION i//
DESCRIBE WORK Enum. Dist. I Location (Area) 1
8. S►AiGuE c Lam/ 1ZC.'4i DCNC . E ARAE,6 Ik`ti'Ac a FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
AS(Gy(p.q(c,
UTILITIES E.PrkL Public 0 Private i71/ 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 4304-•CO
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to vio to or cancel the provisions of any other state or local I.w regulating constructi r the
performance of construc on.SEE REVERSE SIDE FOR REQUIRED INSP-./ Plumbing
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DATE OF APPLICATION 1 r `r�f 6J SIGNATURE OF APPLICANT 1'CANNA) Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env a
0 V SEPA a
tanning p
U
FireMobile Home w
Marshall
J_
lL
Co. Engineer Other (Specify)
cam_ /4.!:7/r'7' 8/�/
Utilities
TOTAL $ 34)
Plans Examiner
t.)ur I dr q5t1QC, F\PP2oLEo SST OF Pt-diNS WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS iBECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE ''ASA
,t h l ` 1 g I g -
;0,8���� Q�;��81! 8 0 4�5 Z *�3 0�;0 O a l-
`�4 C PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
,
12 0
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