1981, 02-25 Permit: 81A-1817 Residence •
PLAN NUMBER PLAN PERMIT NUMBER
SPOKANE COUNTY BUILDING CODES DEPARTMENT sal P' s
f� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
�Li' APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. SS j�- 1_
14 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION A PARCEL NUMBER/S
ur * * 13. 00
2. ��[ 2 ri17ag9\ ADO G1}1'i ICAO '� ;A t t't 1
27.3/554-- b * 1 >, 0 l u
OWER PHONE
3. 1` C�i?c'0 Oil. . i E_i i-c> et 2L2 ,_;i_ * .. 1 3. 0 0 Y
ADDRESS ZIP Actual Set Backs in Feet , ;, * r,
b1-..i.5% 0
r5x ARM_ cla Li4 North Seri (South 1 j East abs (West 2,1 t L
CONTRACTOR PHONE Size of Parcel Zone Classification 1 6 5 8 0
4.
GIN'NE_
ID X' 1"50 6�ileiLL RAMIL I
ADDRESS r ZIP Type,Const. Occupancy Sprinklered v — 1 9—8 1
6Pivl6 St_A; K-5)01_` Oyes ❑No 0 Req'd. 6 4 7 9,
DESIGNER f PHONE Vallation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage
cgArea Storage —
I..1 i'6 71i 5ZZ
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. e- 2 i
�, OF / ❑ OTHER ` '1 J 9
WORK IYJ BLD. 0 PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION i/
DESCRIBE WORK
Enum. Dist. I Location (Area)
FEES COLLECTED 5it lLi FFl �LL1 KC51 ?t( Ck' ``& r ±7CL4FP�)
VALUATION SOURCE GAS ELECTRIC WATER SEWER
9:1�Yj� ��C�,f OF Ownership USE CODE
(� `) UTILITIES Public ID Private 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 4311) �,
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 lo . law regulat : •.tjrtinn or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSP' •N` Plumbing
•
DATE OF APPLICATION 2" II) — i SIGNATURE OF APPLICAt !.c. . — r. : Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE LtLAI G 1` 11 /11124
Plan Check
v Health •y
�' ft � ' ' SEPA
lannmg 2
O
C..,
Fire Marshall Mobile Home 1..0J
W
av si-: ED Other(Specify)
Co. Engineer c ("4`tail�4ys }sil � REQUIRED"
U `�i'vf`k`., 1 t 1t i eV I— Carct County i lrig ee$ fic¢
Utilities
TOTAL $ -71 3%C't)
Plans Examiner i--,
iii!<f -O-t V" WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ildin echnician /'' PERMIT IS NONTRANSFERABLE 'S
2 � ' -'8 1 1 1.7 *3 3,0 0 i -
!. )� �,hl PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
(tOLrnLLfI
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'DZAVE r(\ \'\\
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105 . 00 ,
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41