1981, 04-17 Permit: 81A-3647 Addition PLAN NUMBER. APPLICATION/PERMIT PERIV ? NUM En
//7/g/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT 507
/►1 NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 2 * * 8 C 0 0
1. • 4- GL' - LEGAL DESCRIPTION — SEE ATTACHED * E C 0 0 t
2.
LOT BLOCK SUBDIVISION n PARCEL NUMBER/S 24754-,
- Cl Y
{TI1 I1 YV L 62-fit K/ * 8 C 0 0 6
OWNER PHONE
3. Gp iJ ' t\1661. 1 x` 926 —331-52 A * C' 0 0 c E.
ADDRESS ZIP ( Actual Set Backs in Feet 3 6 4,6
. 2. i-4 V L-- -- "i , ,�� North 'South East (West 0 4 1 7—8 1
CONTRACTORR PHONE Size of Parcel Zone Classification
4. 6 X711,, Iii �11.16t' 6 4 '7 5
ADDRESS ZIP Ty ,¢
1lIIVVII onst.
Occupancy Sprinklered
Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. 97 9— 7
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
8
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE 0 0 LJ A
No.Baths No=ries Nocoms No. of Di ellings
NEWALT. D'N. 0 RPL. 0 MVE.
7. OF /� 0 OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not F;pq'd.
Aof EXEMPTION _ !/
DESCRIBE WORK Enum.Dist. Location (Area)
8. y4 I,^1ie�C� "0P 1 Qt, I ( ,- - FEES COLLECTED
VALUATION` SOURCE GAS ELECTRIC �$1A ER 'I �SEWER Ownership ^/USE CODE
OF
9. .I UTI LLITIES "Or`1ML11� , fir G Public ❑Private 6d' 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 f
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 INSPECT! > Plumbing
DATE OF APPLICATION /i�/( ?E / SIGNATURE OF APPLICANT 'e''L v ech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /f
NAME DATE di�4 / Plan Check
tekli
Env.
421/40.
AT 'f i9;42—k- €I/I'S SEPA
a.
( W" /. ..-7 ,,""/"/. - Mobile Home "i
3
Co.,Eri2'ineer IOther (Specify)
Utilities G0
TOTAL $ k —
Plans Examiner
\ / p•,; frsi • '1- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Bu`• •• PERMIT IS NONTRANSFERABLE 0 ilVt/8 1 36:
6.47;Z *8 0.0 0 °a P
W _A PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSIT D PERMIT NO. TOTAL
IJ [4
,4-00 13Lo -319 i4i &,
,:// Ple4Q 6
i - --7
7
/ /
1,164A0 - i
7
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