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1981, 09-10 Permit: 81A-9130 Repair Fire Damage
PL hl N RER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY BUILDING CODES DEPARTMENT e i h— '1130 /1 , NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 '�J/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES JOB ADDRESS 02 * * 38.00 1. G, /66/5- // CG2',&' LEGAL DESCRIPTION — SEE ATTACHED * 3 8 0 0 LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2054.3t _ i..30 Y OWNER PHONE R * 0 1) 0 3. Rc e-R'T PowP-A-Tz `126,-1763 ADDRESS u ZIP Actual Set Backs in Feet 9 1 9/F E E. 1©G0 1 5 11 c n AVE- North 'SouthEast 'West CONTRACTOR PHONE Size of Parcel Zone Classification 0 9- 1 0-8 1 4. 5. IZVco t -N arPPFZES L/ —5ci .2 z 6 4 7 9. ADDRESS ZIPType Const. Occupancy Sprinklered G N. '7 36 OL.vIMBU-S 77 2o z, V^N 3 Oyes ❑No ❑ Req'd. DESIGNER PHONE Valuation 00 Building Area in Sq. Ft. 5. zsoo 9 /00 ADDRESS ZIP Main Floor Upper Floors Garage Area Storage /00 — — -- CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6. No. Baths No. Stories No. Rooms No. of Dwellings TYPE ❑ NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. 7, OF 0 OTHER WORK 0 BLD. 0 PLMB. 0 MECH. ❑ M.H. 0 POOL CERTIFICATE Req'd. Recd. Not Req'd. of EXEMPTION DESCRIBE WORN.,/ Enum. Dist. Location (Area) r- 8. 8. RE.t'AIR- FIRS DAMA � Tc CS INCL Rg-SiDEN I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER OOwnership USE CODE 9.!z5oo A?c UTI`_IFTIES Public 0 Private 0 Single $ I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included _ 3O on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this o °tk h type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building 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 V 42 _O/� S)7� DATE OF APPLICATION ..— SIGNATURE OF APPLICANT 4.—. ii e J.. Mech. SPECIAL APPROVALS SPECIAL CONDITIONS:- NAME DATE I/251/5.2_ 7 / Plan Check Env. Health �� SEPA a. Planning CO U Fire Marshall Mobile Home J ii: Co. Engineer Other (Specify) Utilities 3� .cA TOTAL $ Plans Examiner WHEN MACHINE VALIDATED IN THIS SPACE, SEPA Checklist THIS BECOMES A PERMIT. Building Technician PERMIT IS NONTRANSFERABLE .0 9',77.1.14'-8,1 911Q z . *3 8.0 0 a..'- PERMIT PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL