1981, 12-28 Permit: 81B-3000 Residence7LAN NUMBER..
/i7
APPLICATION/PERMIT
SPOKANE COUNTY — B(kLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
LOT BLO K SUBDIVISION
OWNER
PHONE
X14 -t,7_.
PARCEL NUMBER/S
G2 t ARES L Ct a:3, i A.7Ot'rccw,,.;)
2D - 21'51
ADDRESS
ZIP
4.
CONTRACTOR
ADDRESS
PHONE
Actual Set Backs in Feet
��f er'>�����
North 'South Stec. 'East 3c.,' !west �- 8)
Size of Parcel 1 Zone Classification
i 34-.0 > x
ZIP
Type Const.
Occupancy
.2.3�Ni"1
Sprinklered
❑Yes ❑No D Req'd.
DESIGNER
5. ADDRESS
PHONE
ZIP
V tion Building Area in Sq. Ft.
5 -4 -4 1`'► -1
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
1 -%5
TYPE
7. OF
WORK
NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Re d.
Recd.
Not Req'd.
DESCRIBE WORK
8•6INCiAV I&'4
1"
VALUATION SOURCE
OF
UTILITIES
TILITIES
Enum. Dist.
l dZ AC,1E A -1c A(._\fiat)
Location (Area)
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private ri
USE CODE
I hereby certify that 1 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 APPLICATIO
N 7 J-���
SPECIAL APPROVALS
NAME DATE
H i
ealth
/ ;2q
Manning
Fire Mars II 1
Engineer
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
Utilities
PI s Ex{ finer
a3
SEP Checklist
B • ing hnician
/7
Aedee /7-/gOr
Ni►U` t n .oc ON .�CtCa�.c� s..ccV (AriVi4 ')
L...5 -(so/
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
24'
TOTAL $ O -1L? •3
PERMIT'NUMBEIt
0.2* *2800
02* *270.00
*298.00
*298006
A *0.00 0
299.9
12-28-81
2 6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'2 & t 8' 1'
3010 *''298,002p)
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
Site pion of
19000 E. 6th
Greenocres, Wosh.
�egol descrLptLon -
tr-
,\ a
The Eost 134.05 feet of Lot 14, Block 22, CORBIN
ADDITION TO GREENACRES, according to Plot recorded
Ln Volume "S" of PLots, page 30, Ln Spokane County,
WoshLngton.
EXCEPT the South 10 feet thereof.
, /gond
OFFICE OF THE
SPOKANE COUNTY PLANNING DEPARTMENT
Date
o _.. 8411d1ng Codes Departmen
ram Planning Department
ubject._. Building_ Permit.
ThegqPlanning Department i as received u request from
/i%At e. ae2Wiyyt eg for the release
of a building permit on the property as described on
the attached affidavit/legal description. It has been
•determined' that a building permit should be issued
under the provisions of RCW 58.17.210. This memo
and attached affidavit/legal description must accom-
pany the building permit application.
**This release will not authorize the holder to construct or apply for a
building permit to construct more than one residence on the lot described
below.
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