1981, 02-09 Permit: 81A-1287 Remodel IPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
1 /9/8/ SPOKANE COUNTY — BUILDING CODES DEPARTMENT / '/ Ke 7
t / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS O2 * * 3 .00
� (�j (�-ili LEGAL DESCRIPTION — SEE ATTACHED
- 3300 s
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. a( KA F11.5t67‘x.iI�,icti, rD . t3LnDdi)_
* 3 8.O O Y
OWNER PHONE 26.S4-I — y L'/T' A O, O cE� 1cos,u_ LL3, I-i ?As ) a2 -2._140
3.
ADDRESS/ /ZIP Actual Set Backslirh etzko I 1 2 a a c
L. Ib4. tL `.r7 N "u iZo North South 1� East west 0 2- O 9-8 1
CONTRACTOR PHONE Size of Parcel Zone Classification
-3kIrt, abK. IIOJ AL1 . a.7tAERA2.6HN o 6:4 7 4.
4. ADDRESS ZIP p.,---70 Ty e Const. Occupancy Sprinklered
'Ski ❑Yes 0 N ❑ Req'd.
DESIGNER PHONEluation Building Area in Sq. Ft.
5 4 2.‘50
U
ADDRESS ZIP Main (�
Floor Upper Floors Garage Area Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE �/, No.Baths No. Stories No. Rooms No. of Dwellings
L`J NEW Kt ALT. ❑ AD'N. 0 RPL. 0 MVE. I l
7. OF ❑ OTHER
WORK II BLD. ElPLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Vq'd.
of EXEMPTION
DESCRIBE WORK p { Enum. Dist. I Location (Area) '
8. MODa- L�AV.StC Ll TO TtLkuL\- {�I c-x- AF FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9. Lf�b�� UTIOF
LLITIES J) MIC Public ❑Private LJ
Single
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included4
_
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building .06
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 J1 Plumbing
DATE OF APPLICATION .0 —
�✓J / SIGNATURE OF APPLICANT/ k//L -a' 1401i-144 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
4 'c -kcci(t) SEPA
Planning r j '•
— 0,
Fire Marshall Mobile Home _1
Co. Engineer Other (Specify)
Utilities '2/2
TOTAL $ ` -��O
CO
PFans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B .ing -chnician �!` PERMIT IS NONTRANSFERABLE 0 2i' '0'9' —8 1 1 2 &7 z *3 &0.0 °a P ,
Y, .++ - ' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
i