1981, 08-25 Permit: 81A-8542 Solar SystemN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
�. L Atz
OWNER
3. tZ iC.i4 a
ADDRESS
tE-- 114�
CONTRACTOR
cam, L
4. ADDRESS
C • k 1 4-
DESIGNER
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
•G
SUBDIVISION PARCEL NUMBER/5
F. of Iry .Z QF (,4%1 — of awl
�r rtuJ �4 7r, '�t1� ,�
PHONE 33 5,+?.' On L
-3&-,TIO
/Z�I'P
<QCA-.7-0c,,
Actual Set Backs in-Feet
North South
PHONE
Size of Parcel
(®2+-:;2-%i 4-
1(01 X )CO
ZIP
Type Const.
Occupancy
4!�(--2-
CHANGE OF USE FROMTO
PHONE
Valu ion
Zone Classification
A&c% .
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
- ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
Storage
CHANGE OF USE FROMTO
Area of Decks
Finished Basement
Unfin. Basement
6.
_ - 1-1 .....................,
4.,
-.�.__
No. Baths No. Stories
No, Rooms
No. of Dwellings
,.,_/
TYPE U NEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
--
7, OF ❑ OTHER
I
CERTIFICATE
Req'd.
Recd.
Not 5teq'd.
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
I
V/
DESCRIBE WORK
Enum. Dist. Location
(Area)
FEES COLLECTED
8. '00L-24iC ACAsSit`z:;VC Aist?t:C?r IVAQ ,,0j-rcr3
VALUATION
SOURCE
GAS
ELECTTRIC
WATER
SEWER
Ownership
USE CODE
9. '- SCIC0
I UTILOITIES
Public 11Private
Single $
1 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 this4
Building W. .0o
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
W�DATE OF APPLICATIO SIGNAZeEF PPLICANT�
Mech.
SPECIAL APPROVALSSPECIAL CONDITIONS:
NAME DATE
Env. Health
o. Lnqineer
Utilities
Plans Examiner
Ing Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 66,-00
PERMIT NUMBER
2* *56.0,0
L0
*5600X
s3 - . 1
08-25-81
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Ipgfi '2.��W8'1 8542cs
2
DATE ISSUED PERMIT NO.
*56,00t —
TOTAL