1981, 12-30 Permit: 81B-3056 Remodel (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
'/1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
►►�\�} i APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 2 * * 5 0 0 0
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION , -1{ - 7--- PARCEL NUMBER/S * 5 C, V 0 ro
5 U
3. owlv,E��R-)�A J r.' . 416 0 A —, A * 0 0 0 8
ADDRESS Iav \llr 'R137-1--. ,,,..� Actual Set Backs in Feet 3 G 5.5 i-
�>1� +Y lir �i190-.z / North (South East
CONTRACTOR PHONE Size of Parcel Zone Classification 1 2—3 0—8 1
- Nell -- 1s Al t rikNt 1 L;1-
4' ADDRESS ZIP Typ/C{�nst. Occupancy Sprinklered 6 4 7 9,
N tNi 5 Elves ❑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.
TYPE ,// ,J/ No. Baths No. Stories No. Rooms No. of Dwellings
LJ NEW LJ ALT. ❑ AD'N. 0 RPL. 0 MVE.
7. OF 11 OTHER y6q'd.
WORK
0 BLD. El PLMB.PLMB. MECH. 0 M.H. POOL CERTIFICATE Req'd. Rec'd. Not
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) '
8 relt�,! VI' i F 0961, FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER CODE
Ownership
9. V:?(%(26 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 5 .
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 INSPECTIO S —` Plumbing
n
4 ,d,..��
DATE OF APPLICATION =}t_ //1Z SIGNATURE OF APPLICANT "` !'� { Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: 1�
NAME DATE Plan Check
Env. Health
pV'7f f- 51-,10... SEPA
Planning C j
— w
Fire Marshall Mobile Home
Co. Engineer Other (Specify)_
Utilities I`-)0
TOTAL $
Plans Examin�eer��
�C� ` Y."T'b. WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•
Bui ' g T ,ici.l PERMIT IS NONTRANSFERABLE 12 :— O. 8 11 3'0.5,6 z * 5 0,0 0 a g -
u`�� °�•��'��•r' ■—%��'--- DATE ISSUED PERMIT NO. TOTAL