1981, 02-10 Permit: 81A-1341 Addition PLAN NUMBER. APPLICATION/PERMIT PERMIT NUMBER
/7— F/'¢—39 // /Y/ SPOKANE COUNTY — BUf.LDING CODES DEPARTMENT 0/4-1,541/e.)
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 0 2 * * 3 8 0 0
1. 61 t7041 4LOT BLOCK SUBDIVISIO PARCEL NUMBER/S 4,55..3/-QG.J * 3 0 0 cn2. ,C.aT i 7 ,E)(0.• fi, S iAA,/_ 07-/ 7'.1, U./-i1 3
OW ER PHONE * 0 G
lA._ ,EMI�i,�� N,�'��HrS .4Dd��
3. /41�Ji2.-' 9.260 c69 I', * 000
ADDRESS ZIP Actual let
Backs in Feet
P. v 741, 7 a,,,,,(,e 9 gza , North - lSouth East +9 (West 1 3 0. It
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ,� u.a`" '- I.)8 x H I) Iv9I
. Po i.,6f-M . 02-09-8.1
ADDRESS ZIP Typ$Qonst. Occupancy Sprinklered z 6 [)7 9,
J,4 ,Q, VN Oyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storms age _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. .._____
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW 0 ALT. Cil AD'N. D RPL. 0 MVE.
7, OF 0 OTHER
WORK IS BLD. ❑ PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not R�q'd.
of EXEMPTION f9
$ DESCRIB WO
i R'w Enum.Dist. Location (Area)
� -• je.�tx u N IKI I 0 FEES COLLECTED
VALUATION SOURCE GAS ELECT IC WATER SEWER Ownership //USE CODE
OF
9. UTILITIES Public ❑Private [�J 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 —g `-d / SIGNATURE OF APPLICANT ' `T' — Mech.
1
SPECIAL APPROVALS SPECIAL CONDITIONS:s �/_�� Plan Check
NAME DATE /!i-,t',,,/ECL
Env Health
(/7(•tqW..., _ CI—� ` SEPA ,3
Planmg c)
Mobile Home ""
Fire Marshall
i
Co. ngineer Other(Specify)
110-r �6cr'a-
Utilities �
TOTAL $ `
Plans Examiner
ID Nt. PoS LL6y,iAtT 21/p/�/ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklis l THIS BECOMES A PERMIT.
Bui mg Tec nicil 4' PERMIT IS NONTRANSFERABLE 0 21,,'7litY7t'1 13 (1 z *3'8.0.01
4i PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
NA
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