1981, 08-05 Permit: 81A-7781 AC PLAN NUMBER APPLICATION/PERMITa� PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT '`, vl 7��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
ki
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
i�� �.r , -f4- LEGAL. DES.:RIPTION — SEE ATTACHED1. C 4 * * 1 4, 0 0
LOT BLO K SUBD VISION PARCEL NUMBER/S * 1400.
2.
OWNER -- PHONE * 1 4. 0 0 6
3. V 43G ZGL"UM-,/t&i c�
ADDRESS ZIP Actual Set Backs in Feet /��� * O.0 0
_rot-pt...-e- North 'South
CONTEast (West 7
4. ,4RA TOR PHONE Size of Parcel Zone Classification i,. 0°-
.ZA - 7'es t ler yzI-seine 08—05-81
ADDRESS ZIP Type Const. Occupancy Sprinklered
, .; 1/ // /1rie; 9 / ❑Yes ❑No CIReq'd. 6,4 7 9.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main 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 ❑ NEW 0 ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
], OF El OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
❑ BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTtION
DESCRIBEWO ` JJ f/ :�/ En um. Dist. 1Location (Area)
FEES COLLECTED
8. n.r7a-/7/i2�f .ti Z. =