1981, 08-10 Permit: 81A-1937 AdditionPLAN NUM�� R _ APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 8 I� ��
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�—iSS LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVI$I N PARCEL NUMBER/S r74 --+-
f - o
. n .. L�-� L I II I ,n1 A � % 7�� j
r
3.
OWNER er, 0, 6t,.l i N
ADDRESSF
cJ
ZIP
Actual Set Backs in Feet
North South
East West
CONT CTQAR
PHONE
Sizg of Parcel
Zone Classification
Pc
i�-ate
,c o
/C� �C� V,,4� -
4'
ADD
SS
ZIP
Ty`p/4
onst.
Occupancy
Sprinklered
Z914V
�.•j�
❑Yes ❑No ❑ Req'd.
DESItNJE,S�
I D '��i-
P N
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin_ Basement
6.
_
- ..
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW
E] ALT. IIAD'N. ❑ RPL.
❑ MVE.
7, OF
❑ OTHER
WORK 10-11, LD.
1-1PLMB. 1:1MECH. ❑ M.H.
❑ POOL
CERTIFICATE
Req'tl.
Recd.
Not Fq'd.
of EXEMPTION
DESCRIBE WORK1
Enum. Dist. Location (Area)
�--,
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership Inuded
9. UTILOITIES l�< Public ❑ PrivateSingle $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisioincluded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gotype of work will be complied with whether specified herein or not. The granting of a permit does nBuilding
to give authority to violate or cancel the provisions of any other state or local law regulating construcperformance of construction. SEE REEVERSE SIDE FOR REQUIRED INSPEC NS Plumbing
DATE OF APPLICATION CJSIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
02* *38.00
*38,00
*3800
A *0.00
787.9-
08-07-81
2 6479,
SEPA c
c
c
Mobile Home L
L
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7'91'10 I,
DATE ISSUED PERMIT NO.
*38,0010 -
TOTAL