1981, 08-21 Permit: 81A-8418 AC PLAN NUMBER APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT t l 'i to -81'l%
eJ
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 7i)�C
„ ane LEGAL DESCRIPTION — SEE ATTACHED
1. 1720 7•. 17th. , s a"shinMton
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
OWNER PHONE
3. 'c arrrzn Patttire 926-1466
ADDRESS ZIP ] Actual Set Backs in Feet
'),170 F. 17th. 99216 North 'South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification
710 Fuel Compary 328-1521
0 4 * * 1 4,0 0
4' ADDRES 'E11'202 Type Const. Occupancy Sprinklered
4 1(73
101 :, ,2,7:73..S'.)n 1 Elves ENo El Req'd. * 1 4. 0 0
DESIGNER PHONE Valuation Building Area in Sq. Ft. * 1 4.0 0
, estinch:�use
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage A * 0,0 0 _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 8 4 1.7 z
6. 08-21 -81
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. z 6.4 7 9.
7, OF ❑ OTHER CERTIFICATE - Req'd. Recd. Not Req'd.
WORK 0 BLD. ❑ PLMB. El MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. ILocation (Area) ' FEES COLLECTED
8. Y1esti_nch)use Air Conditioner 11 tor I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF Public ❑Private 0
Q• UTILITIES 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 gove,ping this Building
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 the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
DATE OF APPLICATION ,ili u t 20.1981 SIGNATURE OF APPLICANTS ` `�4 l ')"4/171 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA i
Planning - i
Mobile Home
Fire Marshall i
Co. Engineer Other(Specify)
Utilities 14•00TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
SEPA Checklist
-, Bui2}ir. Tech aci PERMIT IS NONTRANSFERABLE C18 2 I t81 8418 z *1400Q. F
/ - z" �'• __
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL