1981, 06-11 Permit: 81A-5805 Addition `
PLAN NUMBER PERMIT APPLICATION/PERMIT I ti...:-. 2,� 'il-$
' LEA-307 SPOKANE_ NORTH 811JCOUNTY — B/ UIELDIING CODES DEPARTMENT
EFFERSON
,WASHINGTON 99260 / (509) 456-3675
WI APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 CN OPTES
SEE ATTACHED
Mpg-DDRESS1. LEGAL DES
E. \-15U.0 N PARCEL NUMBER/S 6,f 3�f• 0s C ...j OF 1t2 el'
LOT BLOCK SUBDIVISION W L 0 2 * * 1 2 Z'0 0
Lo-c a tiUC25 �1asi,ni ADO.Tc GIwaiAf12d * 2 2 o o N
2. PHONE 4 u).45' rl i3�' 6G'C. tal55Z-0342
owNt3EQ'tE 'f l�/3 * 1 2 2.0 0
IP Actual Set Backs in Feet
3 ADDRESS North South 15 East West i�'' 0
`/ � �r(p �gDllo R *O.0 0
C 1��L19 Size of Parcel Zone Classification
PHONE -�1
CONTRACTOR esi3 '�o-61523 iRREL,. 1 /XileS �RVLALTU2(AL
Wt 1J.I�� LEI��I)�C�rx Typg Const. Occupancy Sprinklered 5 6 3,5 z
W R1 ZIP 111•Ut ,?� Oyes ❑No 0 Req'd. 0 6 _0 9—8 1
4' ADDRESS Z442A leIP
r ESR �� Valuation ]] Building Area in Sq. Ft.
PHONE �IDfQQZ 2 2 6 it 7 9,
DESIGNER Storage
ZIP Main Floor Upper Floors Garage Area
5' ADDRESS S'lZ —
Area of Decks Finished Basement Unfin. Basement
CHANGE OF USE FROM TO 41f0
6. No.Baths No. Stories No. Rooms No. of Dwellings
TYPE g NEW 0 ALT. n AD'N. 0 RPL. ❑ MVE. I.❑ OTHER CERTIFICATE I. Req'd. Recd. Not Fjreq'd.
7. OF of EXEMPTION y(
WORK BLD. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL
Enum.Dist. Location (Area) FEES COLLECTED
DESCRIBE/� ^ WORK �`g !�6V34-1
8. Ao��l toN "CO tOt LLL SEWER Ownership USE CODE •
VALUATION SOURCE GAS ELECTRIC WATER Public ❑Private ;1 Single $
O F `. :FTI
s IC' 4'4 UTILITIES
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included122e
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
4.herein or not.
grant
ng of a
type pg of lllev olatelordcancel with whether he prov sionlslof any other state ore local llaw rregulati glconstructti ndoes not ror the
performancetPlumbing
give authority
Y
to
of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTION /
DATE OF APPLICATION ,1,0
/ SIGNATURE OF APPLICANT 1 +// .. Mech.
SPECIAL APPROV' S SPECIAL CONDITIONS:
Plan Check
4
NAME SATE r
E/v. H.�' — �3 /iv VV VV 7 7 O SEPA — O
VIIMI
«�
J
Planning l`� lY Mobile Home LL
Fire Marshall / Other(Specify)
Co. Engineer
TOTAL $ `
Utilities
Pl rT WHEN MACHINE VALIDATED IN THIS SPACE,
MIMITHIS BECOMES A PERMIT.
SEPA Ch cklist I ( SI I 5 0 U.! Z �1 2�'0'a'►-
PERMIT IS NONTRANSFERABLE 3116,-1 81 TOTAL
B ildir�,Technif�ian DATE ISSUED PERMIT NO.
�_/A_ � -f"/yN��X PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
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