1981, 09-17 Permit: 81A-9477 Residence(PLAN NUMBER ,
APPLICATION/PERMIT
SPOKANE COUNTY - BUILI!NC'•pODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHMIGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
JOB ADDRESS
E 1+'70i i 7 i AVe
LEGAL DESCRIPTION - SEE ATTACHED
2.
LOT
2
BLOCK
2.
SUISION
or,, .„ qaa S �3dd/'-I
PHONE
OWN r
3. ,4i'r' (AL jb &4
ADDRESS
PARCEL NUMBER/S
Sqi— 210 2 -
ZIP
Actual Set Backs in Fee
North D O
CONT ty.CTOR
4. ADDRESS
PHONE
Size ofc I
Sox „2. 3' .
ZIP
Type Const.A
Ac�upancy
g
20 r 'West 1+f "0
n
Zone Classification
s) M F�1M I Ly Rg-S
Sprinklered
❑Yes ❑No ❑ Req'd.
South 5o East
DESIGNER
5' ADDRESS
PHONE
ZIP
Vq1uation
6-2-1,-Q44,6'56.
Main Floor
/1..0a
Building Area in Sq. Ft.
i2 &
Upper Floors
Garage 2
Storage
CHANGE OF USE FROM
6.
TO
Area Decks
Fipished Basement
Unfin. Basement
500
TYPE
7. OF
WORK
In NEW ❑ ALT. ❑ AD N.
BLD. ❑ PLMB. ❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Ba'fps
No. Stpries
No. Ro6ms
No. of 7wellings
CERTIFICATE
of EXEMPTION
R
eq'd.
Rec'd. Not Recyd.
DESCRI»E
$sVAL1ATIO
9. f t 85C
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
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
/DATE OF APPLICATION I/ ! SIGNATURE OF APPLICANT
1 Vat dam, r,E, - JI act, dA chi
SOURCE GAS ELECT IC KNATER SEWER
OF
UTILITIES
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private ❑
USE CODE
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
ON Mkt.
fj(w
gi ft.s'(59
EM.,/
Planning
Fire Marshall
Co. Engineer
Utilities
qtly
Plans Examiner
-o Ik. Po S-rLg wMY �J l�� 8C
SEPA Check ist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
2()0 Xl
Building 'Y
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$'3-
PERM@T
61A- 7ei-r7
02* *26000
* 26000
* 260.006
A *000
931.4
09.14-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'0'91`-,1i41:4-81`
DATE ISSUED
94772 *260.00° -
PERMIT NO. TOTAL