1981, 04-14 Permit: 81A-3470 Addition, Remodel PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
/�/g/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT
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Pi NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS U * * 7 50C
1. co r2 12- &o 'ffi't LEGAL DESCRIPTION — SEE ATTACHED * 7 ,- G 0 s
LOT BLOCK SUBDIVISION
0 � PARCEL NUMBER/S
2. I "�' 'G . �/E
- 32. — �rJ. I2- * 7 5 0 0
c,-
PHONE ! oor 1,0P.-r r 0
S
3. OW 11 rM, o8/Acriej 535_703-2_ � i/2- d� W �
AD upt ESS , ZIP Actual Set Backs in Feet
3 4 4, 1
51 -- 6_,.1f4 North (South/-'* East (West�'0 0 4— 1 3—8 1
CONT ACTOR -� PHONE Size of Parcel Zone Classification
4.
346-101� X40 }C r II ,IQ. M . 6479
AD RES �I ZIP Typ`q)l nst. pancy Sprinklered 2 * * 1 7. 0 0
1 . 1 r Y V ` �L 6, `/ J� � ❑Yes ❑No 0 Req'd. 0
DESIGNER PHONE Valuation Building Area in Sq. Ft. (-, 0
/G2i 'a� 6.C:21
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage it _
t70 _ 4 2
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement C 4— 1 3—E. 1
6. 6.4 7 9.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ lllyyyEEEW 0 ALT. AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER - Req'd. Rec'd. Not 111 d.
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE v
of EXEMPTION
ikvo8 DESCRIBE WORK i��D� K' Enum.Dist. I Location (Area) t
�hjpp(�J��{%n1(BM,,/,� 961
I FEES COLLECTED
VALUATION SOUR E GAS ELECTRIC WATER SEWER
-��,''✓' Ownership �,,/USE CODE
9. IMO0t c OF
4— 1 C "f "G Public 0 Private
l� 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
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 /`�8JZ E/:/'/ SIGNATURE OF APPLICANT c.rg.#7 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
2Plan Check
En alth 'r ' / z02 I 4o-i41 - r2c ►/,Q
Planninng / &J �0� r I I Mo 4. 7/I /8 I SEPA D
Ar)0111N
Fire Marshall Mobile Home
ti
Co. Engineer Other(Specify)
Utilities t
TOTAL $
ns Exa I s
0WHEN MACHINE VALIDATED IN THIS SPACE,
C ecklist THIS BECOMES A PERMIT.
in• ician �� PERMIT IS NONTRANSFERABLE -
�-
0'4 � ��'-,`81` 34�TOZ *'920:0 � �
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1)‹
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