1981, 06-30 Permit: 81A-6489 Addition, Remodel PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
Pi 333 SPOKANE COUNTY - BUILDING CODES DEPARTMENT S11-
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
t.,
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS . G * * b L,0 0
1 r I s i0 41'.1- LEGAL DESCRIPTION - SEE ATTACHED
L TBLOCK SUBDIVISION PARCEL NUMBER/S L r.
2. I �- I � � I * 62GOY
3. OWNR rtIINA PHONE
" L—✓- ' o _ ��2I C,I" �� 1G/-or. IV6 Gt .. A * C ' Q
AD\-D,RESSBri ` e Z P Actual Set Backs in Feet 6 3. 6
10,,yyRR�1 �� f"i/9 North 'South East (West
CON `r 111 PHONE Size f Parcel Zon Classification C 6—2 5—81
; x I Iv kat-KA-CI'
4' ?�
ADDRESS ZIP T e onst. Occupancy Sprinklered (1
Eves ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Ft.
s. 03(0C2 4-4
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ^/ ❑ OTHER
WORK fld BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. t Not < d.
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area) T
8. ItoA'1p o� j (Q 61450" , I FEES COLLECTED
VALUATICjN 1r`AS --rion, Tr ,\ �r �-
i SOURCE GAS I ELECTRIC WATER SEWER Ownership /LSE CODE
9. UTILITIES .. ' i. Public 0 Private
SIJ
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 (0,2– "
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 fM.f �' � SIGNATURE OF APPLICANT Mech.
Mech.
....jr....t.—SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DAT , I1_ J rI4-/
' ; •
Plan Check
Env. Healt �
N <(4149 O (Pl[�r�- ,(( IceN4Vl051, ..-_,,.. .x.7__. i 6- = !oo o SEPA
Planning 6 i Z(,0 `U
Mobile Home
Fire Marshall Li.
Co. Engineer Other (Specify)
Utilities TOTAL $ �� -
Plans Examiner
ry WHEN MACHINE VALIDATED IN THIS SPACE,
P?h-1 kl <ist / THIS BECOMES A PERMIT.
T- ti.n 1. PERMIT IS NONTRANSFERABLE 061 i3'a.-8 1 6 4 9 Z *6 2 0 0 a°
V PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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