1981, 08-27 Permit: 81A-8639 ResidencePLAN NUMB, R
JOB ADDRESS
LOT I BLOC
2. ;�,
OWNER
3.
APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION PARCEL NUMBER/S(�
L
IONE
� —
ADi5RESS
P
Actual Set Backs in Feet
ii
I
-2-�
North Sout� East 7" 0 West AQ
CONTRA
T R
PHONE
Size of Parcel
Zone lassificati n
D
��k
Lr,ADDRESS
4.
ZIP
TY/Ce Const. 1
Occupan y
Sprink
red
Y
❑Yes ❑No ❑ Req'd.
DESIGNER -
PHONE
Valuation I
Building Area in Sq. Ft.
150 0 91d-
5.
ADDRESS
ZIP
Mai Fl or Upper Floors
Ga age Area
Storage
CHANGE OF USE FROM
TO
Area of De
Finished Base ent
Unfi�.'a�sseement
6
�
G
TYPE 11AD'N.
No�ths
o. St ries
No. Rooms INNo.
of pwellings
EW El ALT. El RPL. ElMVE.
/'^
`
7, OF ❑ OTHER
BLD. ❑ PLMB. 1-1 MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'
Rec'd.
Not q'd.
WORK
of EXEMPTION
DESCRIBE WORK
9
Enum. Dist.
Location (Area)
FEES COLLECTED
8 �L
VALUATION
SOURCE
AS
E ECTRIC
WATER
R
Ownership
USE CODE
9.
I UTILOITIES
�q
^'I�k�%�IfC/
14�1
Public ❑ Private
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
A
i
SPECIAL APPHUVALS SPECIAL CONDITIONS:/// J ]]]
NAME DATE [E �g� L IAS ��� O� I Plan Check
nv. Health 1^�
>at t .IL4 .r •l �r �[2 --�; I / SEPA
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $'�
PERMIT NUMB�'R
02* *28600
*28600
*28600
A *000
847.8
08-24-81
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
:0 '8 ,2 7 c 4' 8'rl 816 ,i 9 z' A� 2 8 6, 0'0 a —
DATE ISSUED PERMIT NO. TOTAL
=I