1981, 12-11 Permit: 81B-2646 Residence PL NUMBER APPLICATION/PERMIT PERMIT NUMBER
INCA 5543 SPOKANE COUNTY — BUILDING CODES DEPARTMENT I._ 2640
e..) NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
i S, r-)1 I 0 \fay mu rt"' LEGAL DESCRIPTION - SEE ATTACHED Z * * 111 E 0,0
LOT BLOCK SUBDIVISIONPARCEL NUMBER/S . ti j C
'
2. 1 7- .1/G r F.%r i- Adel 14/01,
t1 5-4/ _ (i_ i s L C
OWNER3. w • g0 1.1.\ iv.,
ADDRESS Za /h&$ / 1 cZIP91.0 Actual t��c Is in Feet O i I ' /
3 I North South 3 East 1 West `� O :
CONTRACTOR PHONE Size of Parcel( I Zop..Classificado 4
320 X j 3$ )/hf k' -1;�7 � 1 - 1 � 1
4. ADDRESS celrl
ZIP T /eNost. �p ccupanc Sprinklered 4 7 C
" ' K3'�I ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuati n Building Area in Sq. Ft.
4 IyG t
5' ADDRESS ZIP ViriAloor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. (l( X I' LW; 208O
No.lies No. Stories No. Rooms No. 01 Dwellings
TYPE [�IJEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. . . h.- 2 L O
7. OF /y 0 OTHER
WORK LD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION
DESCRIBE ORK Enum.Dist. I Location (Area) 1
8. Ice S r'OLGL. t, J / iAAr4A-Q. FEES COLLECTED
VALUATION SOURCE GAS EVICT RI WATER SEWER I USE CODE
Ownership
s OF
gi GX?tOC L UTILITIES Public 0 Private 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 1
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
QE SIDE FOR REQUIRED INSPECTIONS Plumbing -
6,...-x
DATE OF APPLICATION Mrv. s--, t / I SIGNATURE OF APPLICANT n , 64t1-, Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env: He t
r e,-, /l//D SEPA >
n
Planning
C
C
Fire Marshall Mobile Home I+
LI
t,‘
° En 'neer 1 Other(Specify)
`- [ ti(21$1 �y7 Y t--c., i a -Tee .:4:56 +-..ter ��s. !^� I.td
Utiii ies
TOTAL $
Pl , X mer
I I) - to - 7 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
rrg Tech rciarr PERMIT IS NONTRANSFERABLE It.• ?�' 1 1 d *
�'`� , _ 1���.3 � :81 26 �6z 418.00aF-1
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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