1981, 03-03 Permit: 81A-2007 Remodel PLAN NUMBERAPPLICATION/PERMIT
*•51.V PERMIT NUMBER
///��� SPOKANE COUNTY — BUILDING CODES DEPARTMENT 5 /A — `0'J
/V /' NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 0 2 * * Cj 2,0 0
1. r�_ !� � ��f r� . LEGAL. DESCRIPTION - SEE ATTACHED
ZOT BLOCK SUBbIV15.ION� PARCEL NUMBER/S 1
•
2. ,:.Z / ,-?..r r �,-h t; . ,c! ,fit-c,r �z��� l.-07,-.1 ri,l_rc-l 2 0 0: 6
'�
O NER
�' E. SI���' Ll e�� .r{ . ��� 1;v� ��r�; 0 3- 0 3-8 1
3. 2.t r' /_ �` ' f1 1 f
A DRESS ( ZIP Actual Set Backs in Feet CA, jam4, , J ir
7 el / C .1-,1!s a-v- �}_ /A.4.4.4_ , q92---C) North 'South East West
/' gr CONTRACTOR _ PHONE Size of Parcel / Zone Classification
C
4. -4 -7-f/( 4l�c-,,� ,...7L/L:4"-e-,�?i� 4 ...0-%.f.-r".., ?, yi---r-24 9J/<//,-/5 ry�i .�.e`r,�ie.� ,ccw
ADDRES / t'1- �, ZIP Type Const. Occupancy Sprinklered
I7. '//_7 . �-/ ../.2--a-4 (97 /� -i l i7 ii AI k)- j Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation D Building Area in Sq. Ft.
5. /LOO ) —
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW ALT. 0 AD'N. ❑ RPL. 0 MVE. - —-"
7. OF Ed OTHER
WORK 0 BLD. 0 PLMB. ❑ MECH.��,,, 0 M.,H.// E�jjpOOL CERTIFICATE Req'd. Rec'd. Not Req'd.
A�jl'_,t t/�-re s7,G-J_r'�,a,1,-/-/ i of EXEMPTION X
ESCRIBE WORK Enum. Dist. Location (Area)
8.
) (� FEES COLLECTED
�%�„�;a-�,�'r L. JC,r? ,P.4,c r J 1) 96 I:2;4-441c o t 111.E�.� r
,r ALUATIOONa SOUOFCE GAS � ECTRIC WATVR' SEWER USE CODE
� Ownership p
9.1 '4470,() UTILITIES Public 0 Private Ig 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 Building 9�
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 reg lating construction or th
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 7 Plumbing
DATE OF APPLICATION -�% 'c / SIGNATURE OF APPLICANT L .:•1?/_'J )�,G' /'"� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: / /
NAME DATE _ GPlan Check
Env. Health '/R,t<•• -�A/-(Arzif /t7,5 017 --A/—
k1,� fdl:fty� SEPA n
Plnin9 0 ,,C1,-!),(,! a-i� i "� C)
C.)
Fire Marshall �)1 �,{ Z Mobile Home J
n t X C2-.d�rt2gil
Co. Engineer ji)„t cz .. vate (Specify)
Utilities i�iL.�4.-tei'ai A.i/1ira "✓t 1,,,,- /-/-P
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE � i' 13 '8..3 • Q _ 1 2001 *9 2 Q u aF -
BuildinggTe nici
4 d %6:?-' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL