1981, 02-17 Permit: 81A-1501 Residence PLAN NUMBS;+; PERMIT NUMBER
-7 a// APPLICATION/PERMIT ��� -/„.)-e) /
- /' ��'`" 7/8/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
• .
O./
APPLICANT: COMPLETE NUMBERED SPACES— PRESS HARD TO MAKE 3 COPIES
,213 OG * * 31 3-0O
LEGAL DESCRIPTION — SEE ATTACHED x
1. 38'0 1 ; 0 n
LOT BL CK U DI I I N PARCEL NUMBER/S
2. / Z fedie '/LG%S,4 /-fF7 / 4 oj.t/ fi, zT7 U.t..- (4,-- 7744'(L 4 ''7e- * 3 1 3 O O
OWNER PHONE * 0 0 l,)
3 `t) k- S c A S t r•c_ i,v r_ 0.-41e 33,{2 .2 s---y/ - y c er- Ve)
ADDRESS ZIP Actual Set Backs in Feet , 0 g
/ / _r 15Q „<
0 St; f/.tJ4's A!/9 North 3/ 'South 3/2 East v' (West 6-'0
CONTRACTOV PHONE Size of Parcel / Zone C;lasssiff catio O G- 1 7-C� 1
4. • 1.44 - //n,d7 ,x /3D i �"J.a f, -9 6 4? 9.
•IlDR ,S/S ZIP Type Const. Occupancy Sprinklered
•4,44,4, V--/(/ J3 Eyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. r1'J� A../.744
Si
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Base) ent
6. — //1Qe
TYPENo.Baths No. Stories No.{Rooms No. of Dwellings
NEW 0ALT. 0 AD'N. 0 RPL. 0 MVE. -1i —LVEL & /
7, OF 0 OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION X
DESCRIBE WORK Enum. Dist. I Location (Area) f
8. S/1. [R, 1-x9411 i igalK:OP1eve d.. — 1,112,4-7:144 *telt,— W/5.G Ice FEES COLLECTED
VALUATION SOUR€E GAS ELECTRIC TER E---W/}--ER Ownership USE CODE
9/�7 UTILITIES 1 jD If/40 ,�� j, I Public ❑Private X Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
3a _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 a2- —61 SIGNATURE OF APPLICANT — Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
En ealth
r.,.d 2/7.0 SEPA
Planning c
— LL
Fire Marshall Mobile Home --
LL
Co. Engineer
G,241 ./� Other(Specify)
Utilities fa-J---
v
TOTAL
Plans Examiner
1-'M Pas-TL.IEI.Arr 2 `PI5:./ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistClpp.a()( BECOMES A PERMIT.
B 'Idin Te nicia PERMIT IS NONTRANSFERABLE 0 2,i• } 7 $1 ! 1 5 a1 Z * 313,Q Q 0
4 � . PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTa F
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