1981, 06-26 Permit: 81A-6389 ResidencePLAN NUMBER : APPLICATION/PERMIT
SPOKANE COUNTY - BUILtDma,rODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
(49� 3 LEGAL DESCRIPTION —SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S �2� M C)0.
OWNER
3. 1306 r
ADDRESS
P ONE
_,dx
" Actual Set Backs in Feet
r
North South
CONTAACTOR '
PHONE
Size of Parcel }�
Zone CI ssittcation
4' ADDRESS
ZIP
Ty Const.
Occu anc
prinklered
iV!
Dyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sp. Ft.
�/]
5. ADDRESS
ZIP
M in FFll000r
Upper Floors
Gar ge Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
..—
j` 1-2—
TYPE �N
No.
No. Baths
1%'^
No. Stories
No. Rooms
No. pf Dwelling
l
❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
�
7, OF ❑OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El POOL
CERTIFICATE
Req'd.
Recd.
Not q'd
� WORK
of EXEMPTION
DESCRIBE
^Vi2�
Enum. Dist. Location (Area)
FEES COLLECTED
a_�
$. 1 C
VALU TIO
ft
GAS ELECTRIC
W�ATyB. _
SEWER
Ownership
USE CODE
Q,
1e,
Public ❑ Private
Y/
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 this
Building f
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
tq give authority to violate or cancel the provisions of any other state or local law regulating construction or the
performance of construction. SEEREVERSE SIDE FOR REQUIRED INSPECTIONSS/�j��/h
Plumbing
`A-r1r1A1 v11?1,9 f 1ZIr:1\1AT1 IRF r1F APPI ICANT"�['"1r �y /���f��'N/�N'�\
r- n[ ADDI 1r /
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Planning
Fire Mar
Co. Engi
t;,.
PIA�miner7 ^, /
---COTPERMIT IS NONTRANSFERABLE
�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify) �}
TOTAL $ r�
PERO�MjIT UMBER
t A " (.,;58�
02* *29200
*29200 N
*29200
A *0.00
638.8-�
06-26-8'1
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
6 3 8.9 z *2 9 2-0 0j
DATE ISSUED PERMIT NO. TOTAL
ao.n(5
Lor 2 Block 1 .
Chester Field First Addition
Pm,cel Number 335`iz-3002 -2
125.00 -- -
ro�,orry ,.,e
m
�— Plot Plan
Sco1e
37'' Ave.
25 --
e
I
I
L4
,divS
Center Of
CuldesckC
006 PROHASKA
dfown by 3,AiS S, I'Y ) ITT
AflA iof. SPOKANE , WA. ag20r: