1981, 08-10 Permit: 81A-8007 ResidencePLAN NUMBEF, = APPLICATION/ PERMIT
�� '�/y SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPE ZNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. I I -Z-
7.
7. OF ❑ OTHER
WORK 6BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Nott
of EXEMPTION (�
DESCRIBE WORK Enum. Dist. I Location (Area)
FEES COLLECTED
9
s.
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
5,11010 Z
IA
SOURCE
LEGAL DESCRIPTION - SEE ATTACHED
ELE TRIC WATER
LOT I
BLOCK
ISUPIVISION
9.
OF
I UTILITIES
PARCEL NUMBER/S
2.
G
Public EI Private vi
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 -Z(
type of work will be complied with whether specified herein or not. The granting of a pe it does not presume
OWN R
`
I
Plumbing
PHOr_
3.
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
MAIL Pt AAS "JO 19f-fZM lT ZO vWA'Fp
►�° t r`6 I—'
Plan Check
Env`.�Health
�J �t�
ADDRESS
<;;--�
SEPA.
jj +
ZIP
�
Actual Set Backs in Feet
2—
I/L•
North South East West
CONTRA T 6
PHONE
Size of Parcelii
yi'
Zone Cla
--=!!!4C-1L,9)ADDRESS
ification
6
4.
ZIP
Tyonst.
Occu ancy
Sprinklered
V❑Yes
ON. ❑ Req'd.
DESIGNER
PHONE
Valuation d0
Buildingg Area in Sq. Ft.
4�1 144
5.
ADDRESS
ZIP
Main Floor
ors
I U er Fa
a
Gge Are
Storage
�7
CHANGE OF USE FROMTO
Area -of Decks
Finished Baserhent Unfin. Basemen
I
No. Baths
No. Stories
No. Rooms
No. of Dwelli
TYPE ZNEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE. I I -Z-
7.
7. OF ❑ OTHER
WORK 6BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Rec'd. Nott
of EXEMPTION (�
DESCRIBE WORK Enum. Dist. I Location (Area)
FEES COLLECTED
9
s.
VJ`
Gni jz
VALUATION
SOURCE
GAS
ELE TRIC WATER
EWER
Ownership SE CODE
9.
OF
I UTILITIES
G
Public EI Private vi
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 -Z(
type of work will be complied with whether specified herein or not. The granting of a pe it does not presume
to give authority to violate or cancel the provisions of any other state or local regul con tru ion or the
performance of construction. SEE REVERSE SIDE FOR RE NS CT S I
Plumbing
��
jtDATE
OF APPLICATION SIGNATOR OF PPLIC i�
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
MAIL Pt AAS "JO 19f-fZM lT ZO vWA'Fp
►�° t r`6 I—'
Plan Check
Env`.�Health
�J �t�
y� .�
�� I�-�j�y
/
SEPA.
Planning
ire Mar
Co. Engineer
n 0_a 011 Y/ — / -P, .t .It2t
n,.
st
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $ e ---r ! Xk
PERMITNUMC
BiA-ems
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'Oa'8 16; 81 80a7.Z *247,00a� —
DATE ISSUED PERMIT NO. TOTAL
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e
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