1981, 10-02 Permit: 81B-0200 Remodel PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
i
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 0-2.00
eiNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS-HARD TO MAKE 3 COPIES
— l
JOB ADDRESS CC * * 74, 00
7 LEGAL DESCRIPTION — SEE ATTACHED _
1 LOT BLOCK SI�BD;VISION PARCEL NUMBER/S �4.- I — b-7�r / 4
2. "7 I iA * 74,00
OWNER HONE
3. I .1.--6- IJ19440
A * O,0 0
AD ESS J� ZIP Actual Set Backs in Feet 1 9.9 z
%I North 'South East (West c
CON RACTIIO I PHONE Size of Parcel Zone Classification 1 0— 0 2—8 1
4. kcJ►2'+ 'r �-'N- 'I- 44.`� -G Y7. NA A .
& 6 4 7 9,
ADDRESS��jj� IP , Type Const. Qcccupancy Sprinklered
Ch/>C I 107 + I I V N I-C-j ❑Yes ❑No 0 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.
TYPE �/ No.Baths No. Stories No. Rooms No. of Dwellings
❑ W 141 ALT. 0 AD'N. 0 RPL. ❑ MVE.
7. OF 0 OTHER �
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not�xeq'd.
of EXEMPTION ✓✓
DESCRIBE WORK Enum. Dist. ILocation (Area) FEES COLLECTED
8. �'f 0 r7t-'
VALUl4TION SOURCE GAS ELECTRIC WATER SEWER Ownership y/ USE CODE
9. d70UTILOITIES i Public CI Private lJ Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included i
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building --"7]--___
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 /(f C--b/ SIGNATURE OF APPLICANT _ " • LI Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS) \\
NAME DATE .-( L-i,C. t `/ kivr�orc�,IE 2_0O�i.J I Plan Check
Env. Health fi` /
SEPA
r
Planning Q
Mobile Home w
Fire Marshall
Co. Engineer Other (Specify)
utilities TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
csee,Buil - g Tec icia ,.� PERMIT IS NONTRANSFERABLE O a,�'-`•8 �l 2O z * 7 (0 0 a
�' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL