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1981, 12-08 Permit: 81B-2567 Remodel
Pi_AN NUMBER APPLICATION/PERMIT PERMIT NUMBER SPOKANE COUNTY — BUILDING CODES DEPARTMENT OI LB- 2-5G:i ,... el NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675 APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES JOB ADDRESS LEGAL DESCRIPTIONATTACHED - SEE L 1. �. IOGZo + / Co Ozz 1'+TH AVE- ;w, (_';- ti 3 '; LOT BLOCK SUBDIVISION PARCEL NUMBER/S Nos'' `3N-S6 2. 1.i i cF Lc7r's l AND 2, .I- I- * G. 0 0 �N 1� �" "� f._ Z 6..r 2.,..,--r 3 (N. BLO GC. 33 u V PLAc� S OWNER PHONE * C 0 0 `^ 3. 1-Al2-12-Y (# CA12,01._ J-foYT c 28- 721L ADDRESS , ZIP Actual Set Backs in Feetr r-!1 a -� v E• locos 2 1 tl AVC GRI �2Ob North 'EX/dal/OCT- East 'West CONTRACTOR PHONE Size of Parcel Zone Classification 1 — J- 1 4. OW Li S CONI S-fR ACTIO V 327-2 31, /2S' /SO' Mutri-PAM i-y 6.4 7 y, ADDRESS / o .'M ZIPIPType Const.,YOccupancy Sprinklered 'Po. 604 613 sf/�K`�'wc.- 1 9 2.1(7 V- N -1 Dyes ❑No ❑ Req'd. 0 L * * 5 2 0 0 DESIGNER PHONE V luation Building Area in Sq. Ft. '145'- ?r ;i c 1. V cI-n t-/ i 4L 5- 5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage * 5 0 0 #5 - r CHANGE OF USE FROM TO / I Area of Decks Finished Basement Unfin. Basement F * 0 is 1, 6. - TYPE � No.Baths No. Stories No. Rooms No. of Dwellings ❑ NEW Er ALT. ❑ AD'N. ❑ RPL. ❑ MVE. t 7. OF 0 OTHER 1 L `Civ-P 1 WORK BLD. ❑ PLMB. CIMECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd. of EXEMPTION A•---- 6 LI. 7 9, DESCRIBE WORK 6A—ri 'moo Bare2i3O* Enum. Dist. !Location (Area) r 8. ReNtoplt;t- Extc-rink. Li- PLsX �LAN tki , RrxiM 1 KIT`fEN I FEES COLLECTED VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE 9. 17©O jUTILITIES Public ❑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 - 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 DATE OF APPLICATION -� gr' SIGNATURE OF APPLICANT V .�C/ ------- Mech. SPECIAL APPROVAL SPECIAL CONDITIONS: I. n NAME DATE Plan Check 7 / Env. Health � / /i"g_l/7 ti �1 �-�) / 2/'7 SEPA >- lanning Ct p C..) Fire Marshall Home '� J U— Co. Engineer 149- 2 11^ Other(Specify) Utilities ►✓ TOTAL $ 1 Plans ner SE ` l / �ar,, ewe 4,.,,.,,,E.,42 G/N,i ..'0% x7/5i006. 5/ 4 uate WHEN MACHINE VALIDATED IN THIS SPACE, ! 4 p4.4 -_ „+� �t'AJ 'f . . '/r7L' , THIS BECOMES A PERMIT. h e B in Technician jf., PERMIT IS NONTRANSFERABLE 13ht B 8 8 1 2'S 6.'7 *i 3 20 0 a — PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL