1981, 03-19 Permit: 81A-2568 Addition ii_m N MBEFi PERMIT NUMBER
3//9/y/ APPLICATION/PERMIT
ill; SPOKANE COUNTY — BUILDING CODES DEPARTMENT _ ' '"
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
V(�
JOB ADDRESS 2 * * 6 2.C 0
1. <c2 ,I-36-, .4ci -- (;.: ,‘--Q:� LEGAL DESCRIPTION - SEE ATTACHED * 6 2 0 0
LOT BL K UBDIVISIO / PARCEL NUMBER/S a +�.C-*�,_4,/ a
2..:; / (147.), , •- O/3 UR/5A Ai /--W 4- '4 D-D .1.1),-,=s A-/C
* 62.00�
OWNER PHONE /1//dd/P4�. Sfl,(3UR.13fA, frfi1' ' APP/174.)V A * 0 C. 0 v
./.:,..(Liar, 1
A DRESSI r ( ZIP Actual Set Backs in Feet 2 5 6 7 o
r"./< ,7 ,� ;a.1-C_ vj� ,,,hr4, q9-.Z//� North ,6 7� !South East 'West 0 3_ 1 9_8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
. ,114 .. q"X /L/ .4�,r rri -2 6479.
41.�' ADDRESS ZIP Type Const. Occupancy 1 Sprinklered
(1.444,x_, ti N �,��
i =i Oyes 0 N ❑ Req'd.
DESIGNER PHONE V luation / AA Building Area ii Sq. Ft.
ADDRESS ZIP Main FFIogr Upper Floors Garage Area Storage -
5--- -- .— —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. --
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE N NEW ❑ ALT. I AD'N. 0 RPL. ❑ MVE. ! /
7. OF ❑ OTHER
WORK, 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION '\
DESCRIBE WORK • Enum. Dist. Location (Area) '
������ ¢¢ /6 1` 4 I FEES COLLECTED
V ALuATAN SOURCE' GAS `ELECTRIC 'WATER SEWER Ownership USE CODE
I
UTILOITIES Public ❑Private oiq
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 C --
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 7'"',/ / SIGNATURE OF APPLICANT 4- "r' // ," Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: = i,
NAME DATE Plan Check
Env. 3A'
d9 SEPAA.
Planning V
Mobile Home J
Fire Marshall
Co. Engineer Other (Specify)
Utilities
TOTAL "$�Ln-. �
PI ns Examiner
��J//'A/
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA e klis `' THIS BECOMES A PERMIT.
1
B �i (
Bu' ing Tec niciapj PERMIT IS NONTRANSFERABLE 0, _:1'9.H81' H -
A6 . 0;arttir s PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO.
2 5 8 z *6 �. ¢TOTAL
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