1981, 08-18 Permit: 81A-8226 Mechanical Fixtures PLAN NUMBER APPLICATION/PERMIT li
PERMIT NiBER
////'������'� SPOKANE COUNTY — BUILDING CODES DEPARTMENT `BpJ� 4 �Z�
iNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. /67// LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION a PARCEL NUMBER/S
3
2.
OWNE42 ) 1 P}�-'ONE
3. L/. 6/°,4 (l c gt— l 7/ 0 3 * * 5.0 0
ADORE /�' ?;1/136,--')„.1„,
>IP/. / Actual Set Backs in Feet * 5.O O
/ (,//7/ ., � d�9 North 'South East (Wet
CONTRA OR - -1 ) 1,EAyf.�7� Size of Parcel Zone Classifications * 5 Y
4' ADDR(.____/ _ 42 , 6 /?"p� \ Type Const. Occupancy Sprinklered A * GOO
7 ` � c��C�_,J} ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. 8 2 2.4 _
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage 0 8 1 8_8 1
_ —
6.479,
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. 04 * * 1600
No.Baths No. Stories No. Rooms No. of Dwellings * '-
TYPE 0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 1 0 0 u3
7. OF 0 BLD. PLMB. kMECH. 0 M.H. 0 POOL ❑ OTHER
CERTIFICATE Req'd. Rec'd. Not Req'd. * 1 6 0 0 6
WORK
of EXEMPTION
A
C.O C
DESCRI WORK pp ,�, \\^^ Enum. Dist. I Location (Area) FEES COLLECTED
8. � � F'1� Jt� � z ��! J � I 8225-
VALUATION SOURCE GAS ELECTRIC WATER / SEWER Ownership USE CODE
9. IUTILLITIESOF x Public 0 Private 0 Single $ 0 8— C4—8 1
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included E. 6 4 7 9. _
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 loca aw regulating construction or the 561‘..'
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEC I INNS Plumbing
y V
e)1")
Jam. ,
DATE OF APPLICATION /c/ SIGNATURE OF APPLI ' ! " - 7--,1<a cL1p-.�P(lech. J
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA o_
Planning cDV
Fire Marshall Mobile Home --a
L
Co. Engineer Other (Specify)
Utilities / GJ6
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ician PERMIT IS NONTRANSFERABLE1
08 'x`'8 `,, 8`1 82 26 2 o *2j00aO J� -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL