1981, 12-02 Permit: 81B-2360 Remodelr7N7UMBER
APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
SO
VALUA/� URCE
9, Y`� UTILOITIES Public ❑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 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 or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
AT ioc nC Wool IrANiT I C i Mech.
SPECIAL APPROVALS
NAME DATE
APPLICANT: COMPLETE NUMBERED SPACES —
PRESS HARD TO MAKE 3 COPIES
Planning
JOB ADDRESS -7
�
Co. Engineer
LEGAL DESCRIPTION — SEE ATTACHED
1
I ~
B
SUC�r'r
1e/1
PARCEL NUMBER/S - G
2.
ZZ
( �'K
\S -I �A� WllJR/
O NE
l�
PHONE
3.
j �}
RESj,North
P
Actual Set Backs in Feet�-fjkj(�jAD
Southast West
CONTRACTOR I
PHONE
f
Size of Parcel
Z ne Classification
I
l )✓L� ���
� v
4'
ADDR SS �+]
7L'�
/-
Ty(p7e onst.
Occupancy
Sprinklered
-]yes❑No ❑ Rec'd.
,s ..
DESIGNER 1
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
I Finished Basement
Unfin. Basemer
6
No. Baths No.
Stories No. Rooms
No. of Dwell
TYPE ElN W ALT. El AD'N. ❑ RPL.
El MVE.
❑OTHER
7,
OF
LLL D. [IPLMB. ElMECH. ElM.H.
❑POOL
CERTIFICATE
Req'd.
Rec'd.
Not R�
c/
WORK
of EXEMPTION
DES gRI
E WORK
Enum. Dist. Location (Area)
FEES COLLECTED
8.
(Nl011`1t�l
Krx,4 Ub t5,L--
TION GAS ELECTRIC
WATER SEWER
Ownership USE CODE
SO
VALUA/� URCE
9, Y`� UTILOITIES Public ❑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 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 or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
AT ioc nC Wool IrANiT I C i Mech.
SPECIAL APPROVALS
NAME DATE
SPECIAL CONDITIONS:
Env, ealth
Planning
Fire Marshall
Co. Engineer
Utilities
Plan; txamin/err� �,
I•Vl-�-r ' Ear'
SEPA Checklist
Bui.- IdEecY�Ty�an
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
1
Mobile Home
Other (Specify)
TOTA L $ 10
PERMIT NUMBER
* K1G00
*1Cu�
OO
G
L J 5: 7
i2�02-�1
6.[79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
121 02-8 236,1'5
DATE ISSUED PERMIT NO.
*10.00a�-J- -
TOTAL