1981, 03-12 Permit: 81A-2342 Remodel ',LAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
± *2-/0/ 81 6- Z342. 1
SPOKANE COUNTY BUILDING CODES DEPARTMENT
piNORTH811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. V_. 11)62.0-22. 14TH LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 4 4 0 0
_
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 10912 6F LI ,k..2_
tyz-GF * L /! 0 0 u
2. L A Lit 3 Uric 9l'.Eus 9 i v "'PL A[_ 2 3 4. 1
OWNER PHONE
3. LiA>2iJ I-10.41 422-7 at z 2544-34510 0 3- 1 2-8 1
ADDRESS ZIP Actual Set Backs in Feet 'kirZioe
E., 1061i5 2174 Q2
4Dl
tp North South East West 6 4 7 9,
CONTRACTOR PHONE Size of Parcel Zone Classification mllli_i9•-}ifi91i1_rl
AMC 90k12 . nag int:14:1Atiltimm
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
5;460%6 ., It1141Z-1
Lives ❑No ❑ Req'd.
DESIGNER PHONE V cation Building Area in Sq. Ft.
s. ',t � 1(412
ADDRESS ZIP Maih Floor Upper Floors ( Garage Area Storage _
—
CHANGE OF USE FROM TO Area of Decks Finished(Basement Unfin. Basement
6.
�/ No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
LK NEW uf ALT. 0 AD'N. 0 RPL. ❑ MVE. i 4 3
7. OF .
OTHER
'
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not/Req'd.
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area)
8. INViltI 2. Rf.-AY)oil el... -DiAPLt T
� v 'ft2L1'L l FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public D Privaterid
9. 3 UTILITIES ta1 iL 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 •'�O
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 ca
--/ --- 1.1 SIGNATURE OF APPLICANTt240�-� _,41 ....., Mech.
r
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE OR.f(y1 NAL- .:kat-cici 4e..)9'_ Vc.PLEx(YVI .6:041)
Env. Health
t'3c 1Ze&Ato . ibilicaNk 13UIL.1 a, 1124 1b(bEA 'Fact cbU - ?LEX SEPA
Planning
U
ENTEfttatt. c.9NtS14 9.�wD�Z vft
Pc,Z rE t1`ckR-,rvit&i anh-t/ c....)
Mobile Home "'
—
Fire Marshall ,
WOMC Vi L`0 t L1 (
Co. Engineer Other(Specify)
Utilities ft e A�� 60
TOTAL $ 44400
Plans Examiner
1.6-1-- r cc'2'O - WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE 0.31'..1:'2' 8'�1� 2'3 4.2 2 *4 4-0 0 a N -
7- �`2� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL