1981, 01-21 Permit: 81A-0734 Insert PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
31-
- SPOKANE COUNTY - BUILDING CODES DEPARTMENT /1 (A 7
vNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0(-I- x * 1 7. 0 01
1. 12, 4,&i 2- kl 00,9 4,a-ij r-r- • LEGAL DESCRIPTION — SEE ATTACHED
LOTS BLOCK SUBD VISION PARCEL NUMBER/S
2. * 1 7.00
OWNER PHO__N�
3. }
ADDDRES / I �`I I�{!� ZIP !� Actual Set Backs in Feet 7 3.3�o
L
, .0.1 2- W10.0"J (-lti 'f 9 7-0CP North (SouthEast (West
CONTRACT PHONE Size of Parcel Zone Classification 0 1 -2 1 -8 1
` �'"' - 6G 79.
4' ADDRESS ZIP Type Const. Occupancy Sprinklered
❑Yes ❑No ❑ 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.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7, OFf ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK ❑ BLD. ❑ PLMB. MECH. 1:1 M.H. El POOL
of EXEMPTION
DES RIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
VALUATION SOU CE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0
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
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 INSPECTIONS Plumbing
DATE OF APPLICATION ell..J3 .I Si SIGNATURE OF APPLICANT /42-4/ / ! — Mech. ( �{
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA -
Planning raj
Mobile Home - w?
Fire Marshall f�
Co. Engineer Other(Specify)
Utilities TOTAL $ 1-7
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
.ing Teii '.n r PERMIT IS NONTRANSFERABLE 0'l ir, 241: 8!j 7 1.4 i *1. 7.0 0 a 1-
,,_
J- -
��' -� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL