1981, 08-21 Permit: 81A-8427 Remodel PLAN NUMBER APPLICATION/PERMIT PERMITTJUMBEk'
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
8IA- 642."7
(2/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED C ` * * 3 8 0 0
-
1. / J a./ �l,�l/�'tdfi� * 38.00
LOT LOC SUBDIVISION PARCEL NUMBER/S
'2. 2- 2— Powe cif°S, f 10a it" ,,2noxlQ0ef * 3 8, 0 C
OWNER P ONE � � �� - �����
A * 000
3. a; • :t s g -sso ra4y-- 7,W .7 .E-91c - 9 - 701
ADDRESS /� /�/ �y�/ /Z'IIPP ) Actual Set Backs in Feet 8 4 2 6
/" -C ° /: i)c. / Z0l Y' 99-4/>t North EXIST 'South E S Yr East rc)C1 T IWestgli£7 0 8-
2 1 -
8
CONTRACTOR PHONE Size of Parcel Zone Classification
4. 544-71/4— /be' X ISO' APT S,NGLL FAM(Cl RES 6 4 7 9
ADDRESS ZIP Type Const. Occupancy Sprinklered
Y-N R.-3 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation On Building Area in Sq. Ft.
5. 13000 —VA' 66o
ADDRESS ZIP Main Floor ripper Floors Garage Area Storage _
— ..—
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. fcFO
TYPE ��. No. Baths No. Stories No. Rooms No. of Dwellings
'ANEW 'LT ALT. ❑ AD'N. 0 RPL. 0 MVE. I ,-..lia- Z 1.
7, OF BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER
YJCERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION r.....--
DESCRIBE WORK STt/I e..... "9I9 73.t ¢. D d✓ Enum.Dist. I Location (Area) '
8. f'f ii s 0 - �,V .0/L �,s,<Z FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
Ownership CODE
OF
9. UTILITIES Public ❑Private Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Oo _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building 3 S 5.6c
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 — 2/ ---�/{ SIGNATURE OF APPLICAn� �!%? `- 4' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health N
SEPA ti
Planning U
_ U
Fire Marshall
Mobile Home 'u
L%
Co. Engineer Other(Specify)
Utilities p 00
TOTAL $ �O XX
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
{
Building Technician PERMIT IS NONTRANSFERABLE l ,.l2 1 o p
�0'•8 � �' Soli 842�7z *� B.00a�pi.
-.1-641 Pos-rckwAir PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL