1981, 03-06 Permit: 81A-2124 Utility RoomN -NUMBER
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
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1 • (7 a_i /J� 7J 671/1q–
7/LOT
LOT
BLOCK
PARCEL NUMBER/S��/�!/—/��3
2.
15UBDIVISION
OWNE5 n
�'J �1>1>�t, �
PHONE
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3. L
ADDRESS
ZIP -7
Actual Set Becks in Feet
i" c�j /��-• .�� ul/��/%��•��1/v' �i�
�'G�l /
North ,�J South c�
East West
CO TRACTOR
PHONE
Size of Parcel /
Zone Classification
J
4. A DRESS
ZIP
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation dp,x�y_o_�
Building Area in Sq. Ft.
5'
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Stgr ge
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
—
I
TYPE NEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
/
No. of Dwellings
% ❑OTHER
WORK 11 BLD. ❑ PLMB. ❑ MECH. 1-1M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
(
VALUATION
SOU CE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
r /
9/ 5-
F
UTILITIES
Public ❑Private (`
Single $
1 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
7i t�fey 01/
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 INSPECTION
Plumbing
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DATE OF APPLICATION "'1!� -" ?/ SIGNATURE OF APPLICANT
``' e 'rA� X" �-
Mech.
SP IAL APPROVALS SPECIAL CONDITIONS:_ j
NAME DATE ,�>91F� 1/iJG� s./ OrJJ;! / l ELtiih
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nning 71
s'�� 3-7,_3 6j)
e Marshall \_
ngineer �4
es
Examijlw ,,9
Itling Tec nlaa
PERMIT IS NONTRANSFERABLE
DCOIIIIIT CVDIOCC Yf I11C VCAD COl11111 nATC r%C ICCI IARIP`C
Plan Check
PERMIT NUMBER
-.21
02* *44.0.0
4 4. 0.0 N
*44.00
A *0.00
21 2.3z
03=06=81
6.479.
SEPA I i
r
Mobile Home
i
Other (Specify)
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1. .i
0 '3j ' a! 6'-,8 1 212.4.2
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*4.400► -