1981, 02-17 Permit: 81A-1509 Remodel PLAN NUMBER ( j, // /i APPLICATION/PERMIT PERMIT NUMBER
a{/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT .4-f�d
0jNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 44.00
&C,/,‘; /N LEGAL DESCRIPTION — SEE ATTACHED * 44,O O
LOT BLOCK UBDI.,ISO PARCF1_NUMEF.R/S ���5".3_��<5"70. ~
2. ,.er3 L3'—I-( / * 44,006
O/ NE/(��/71 �� [1 /�� PHONE c-J PACE- L /� A
F 9��-'r vv v �aC) iI�Y '� PHONE "l A- C11r9-J l�F� r/Tv �T,Faav A * 0,0 0 U
3 DRESS ZIP Actual Set Backs in Feet 4� • 1 5 0. 6 2
6° l�6e/6 624 q . _ p.,,�4d L 99. North 'South East Iwlst
CO TRACTOR �` PHONE Size of Parcel t Zone Classificati 0 2— 1 7—8 1
4. > _74 g-ef- 3.26,-92-V.1 /atlX 1�4 ,7..i/j h ,.e 6479.
A DRESS �/fJ , ZIP Type Const. Occupancy Sprinklered
t /3/ D �LL4. -Ccs. M -a-?4-I_ 9901-06-- ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Val tion Building Area in Sq. Ft.
5. .,_1 2C�U 6 � '
ADDRESS ZIP Main Floor Upper Floors G rage Areai' Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF SI OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION .x
DSCRIBE WORK /A4.,--CEnum.Dist. I Location (Area)
8 �}LUATION SOU CE GAS� .p.., /,� ` . .___, I FEES COLLECTED
V Qti /� ELECTRIC ! WATERS
SEWER Ownership USE CODE
3OF
''. aa�a UTILITIES yp�� Qi 4w>R� i Public ❑Private
^l� i Single $
I hereby certify that I have read and examined this app ication and have read the "NOTICE" provisions included Cao _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building '7/
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 re• lating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION ,- — / 7— / SIGNATURE OF APPLICANT x.A,,-d - C7- - -Ii.r. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health L `�n C - . aa/ ':
.
SEPA >-
Planning 44 -Cio
Fr ",r � 4, a.
•�
Fire Marshall A-V-ate--ii r Z4.GI�Lt.J Mobile Home W
// n a�.9 l J
ti:
-.
Co. Engineer J' tx-Z'L.Q- ) ,,IC. cA- il.o-- Other (Specify)
Utilities / )/'��,� � - '
�,X/2 i t v- 6 /,�;tt2Cee, 0-a --.�G-Q.t,Cee tc,e.�--�
AA� --gg- i/ � TOTAL e,,,„..
Plans Examiner $1(/� t/.4- 'L(.Z'��('./j 4- ..tit)--ct C.. a-14- ,/AL'tra""6—G
// ff WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Tec nici PERMIT IS NONTRANSFERABLE 0 2i' 1'7-''81' 15 0.9 Z *4 4 0 0 a. i -
JP,/-t ate ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL