1981, 07-16 Permit: 81A-7114 Enclose Breezeway(PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
1 zL1tii �vl�2o
LEGAL DESCRIPTION — SEE ATTACHED
LOT
14-
OWNER
L"lE(2.-A LQ
ADDRESS
BLOCK
SUBDIVISION
c oiLTWv R(2 Ace 2••° Ra D
LL) . (%.tLLE2
PHONE
Q2g
PARCEL NUMBER/S
-2-7642 - 1552
.11/120
CONTRACTOR
`AtME
ADDRESS
DESIGNER
5. ADDRESS
ZIP
Actual Set Backs in Feet-.; I ,61
North (South East
West
PHONE
Size of Parcel
E)( 1`1 Y 16A.G
Zone Classification
K�Z
ZIP
Type Const.
Occupancy
ILA
Sprinklered
Eves ❑No ❑ Req'd.
PHONE
Valu�ion
✓a GGIJ
Building Area in Sq. Ft.
706
ZIP
Main Floor
'LSO
Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
LYJ NEW
4BLD.
IJ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
1
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not req' d.
DESCRIBE WORK
8. 52 2vI.l4y
Enum. Dist. I Location (Area)
VALUATION
su
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private
USE CODE
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
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
DATE OF APPLICATION _JJL L�� SIGNATURE OF APPLICANT
� t /1 �
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
'NOT Rra
Planning
Fire Marshall
Co. Engineer
Nor Rate'
Utilities
Plans Examiner
syrJ�e q (1 i st ��m
Building Technician
gel/2.0M . ?mo w
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building 450 00
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ . fid
PERMIT NUMBER
* 50.00
* 50.00
* 5Q006
*0.0,0
/ I 1,5 2
07.16-81
2 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
.011.46'781
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE HATE (SCI IFn
71L42
PERMIT N(1
*50,00 °Pj
TflT: