1981, 03-17 Permit: 81A-2478 ResidencePLAN NUMBER '" x
APPLICATION/ PERMIT
PERMIT N.JMi,'ER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
02* * 3 5 2.O O
JOB ADDRESS
_
LEGAL DESCRIPTION — SEE ATTACHED
*352-00 '
Y
*352.006,
LOT
BLOCK
15UBDIVISION
%_�WZ1f.1
PARCEL NUMBER/S'
2. e
1/1
�T' ��� �\
A *0.00
OWNER
PHONE
3.5
1 _ -7 71,
Pel/0,E/,-/LSA
2 4 7-7;?
DD ESS
ZIP
Actual Set Backs in Feet
! / /
S ry
r! '
North W� South 3,1) East % West 24
03-17-81
CO TRACTOR
PHONE
Size of Parcel }��yr f
Zone Classification
A DRESS
ZIP
Type Const.
Occupancy
Sprinklered
'3 %�-
Oyes -]No ❑ Req'd.
DESIGNER
PHONE
V luation
Building Area in Sq. Ft.
5.
r. i � �y �-`
-s : v,= --
_
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6..6
C,
TYPE NEW ❑ ALT. ❑ AD'N. 1-1 RPL. ElMVE.
No. Baths
aCERTIFICATE
No. Stories
�_`�_ .
No. Rooms
/
No. of Dwellings
%, OF
❑ OTHER
I
Req'd.
Rec'd.
Not Req'd.
m
WORK '%' BLD. ❑ PLMB. ❑ MECH. 1:1M.H. ❑ POOL
of EXEMPTION
X
D SCRIBE WORK /
Enum. Dist. Location (Area)
FEES COLLECTED
VAILUATION
t7
SOURCE
OF
GA
ELECTRIC
WATER
SEWER
Ownership
USE CODE
1r,00
UTILITIES
S��iL
Public ❑ Private
Single $
I 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
_
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 r u ating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION r -/
SIGNATURE OF APPLICANT' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
1� `/ V Plan Check
k /
En ' Health
SEPA
>'
c..
Planning
O
v
Fire Marshall
Mobile Home
gineer
Other (Specify)
Utilities
TOTA L $
Plans Examiner
—110PA C.S 311-ztst
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
i�
Binding Teshnici t
PERMIT IS NONTRANSFERABLE 13�1i 11171-;-4'1
2 4 2 8 °z' 3 5 2 0 0 4 -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL
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