1981, 03-11 Permit: 81A-2317 Residence (PLAN NUMBtR APPLICATION/PERMIT PERMIT NUMBER
III a �� �� /l�/�� SPOKANE COUNTY BUILDING CODES DEPARTMENTi'� -'/7
i / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS L 101.4 LEGAL DESCRIPTION - SEE ATTACHED j 2 *- * L ( 6 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S l 60 0 rii
2. / 4 � P W,l.. 1\OU(. I0-,N) •-l7I- -2_41_7;?,-- -t.,, fit: 6dba
OWNER PHONE * 2 ( h:O C(5
3. Act.A`-t:b i;Jiiil_Gri 4`.5A -ago; Loi 1 4 £. & ki l►C i Lt 'NEtz 51. 0.C 0 7.,
ADDRESS ZIP Actual Set Backs in Feet
lid‘ iibi() 61.0.0*0 V Waal 161'2(./4- North 'South 4o' East at 'West 2-4-I 2 0 8 t'
CONTRACTOR PHONE Size of Parcel Zone Classification
O 3- O -81
a. Howl( -72_K 121 I . i7'1 'v�F.4.�1r�
ADDRESS ZIP Type Const. Occupancy SprinOyes ❑No klered❑ Req'd.
frff�r WR ,~XIL+I-V) ='_ 6 4l 7 9.
DESIGNER d, PHONE Valuation c Building Area in Sq. Ft.
IF
5. 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
NEW D ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF ❑ OTHER
WORK N/BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd.
of EXEMPTION 1
DESCRIBE WORK Enum.Dist. I Location (Area) T
$• SIA&L.C. riAaliLY rke-ii rnkc FEES COLLECTED
'
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
972:2_a.SL- UTILOITIES �ftC. Public 0 Private 0
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 .+241,c".00
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 Plumbing
DATE OF APPLICATION ' SIGNATURE OF APPLICANT/` ' ' /!71� + Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE Se�- nCl'l� —1)2446Snlc,71k1LS.
Env al h
'7,.,
�5/2/ SEPA a-
Planning O
_ U
Mobile Home w
Fire Marshall -•.1
CrMer3 r Other(Specify)
Utilities / 9 D
TOTAL $ 2.547,O0
Plans Examiner
_ M PPO" _g:w I-3Iiv I WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buui�ldingTechniciiann PERMIT IS NONTRANSFERABLE 0i3, ' iF'f�,r"�''�.i 2'3 17 z' *`2'0 6.0.0 2 F
`1� y` jai PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCEDATE ISSUED PERMIT NO. TOTAL
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