1981, 11-12 Permit: 81B-1762 AdditionPLAN NUMBER APPLICATION/ PERMIT PERMI v -r
SPOKANE COUNTY — BUILDING CODES DEPARTMENT �I �1 0
i NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
105 /-7 P- � 3 RP AVE -
LOT LEGAL DESCRIPTION -SEE ATTACHED
1. I BLOCK ISUBDIVISION PARCEL NUMBER/S 3Z 5-44 — IZ07
2. 7 .Z ==Xtlllll PONWAA ANO -S
OWNER PHONE
3. A � U 1I'_.OA`l2 -'10(0
ADDRESS
ZIP
Actual Set Backs in Feet
L -�
e- 0J!'/
/
/
q720r,
�+ South East
16 West If 4-
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
84-' x z76
AGRICUL t- Sub
a
ADDRESS
ZIP
Type Const.
FOcc6pancy
Sprinklered
V -N
I R -3
❑Yes ❑ No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
X537 "
Z2-
5'
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW 11 ALT. ?�`AD'N. El RPL. El MVE.
--^
--'
7, OF ❑ OTHER
ii4'BLD. ❑ PLMB. ❑ MECH. ❑ M.H. EI
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
Enum. Dist. Location (Area)
FEES COLLECTED
s. ADDITION OF PEN --M F—XtSMNC-4 R"JvpVC-
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9,
OF
I UTILITIES
S:>rT'T \ C
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
Building 5 f
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
/ y/
111-741 Qlr_AIATI IRC nP ADDI I(`ANT Arm ✓�/1 /%iLe._
nATC r1C ADD[ Ir`ATIr1N
Mech
Fy�� / NAME DATE
Env. el
/yC * AI I �
Planning
re Iviarsna
neer
PgXminer
SEPA Checklist
SPECIAL CONDITIONS:
M41L -G, outNef-
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
CO
TOTAL $�
OL* *5600
* 5 6, LI 0
A *000
i b 1.4.^
11-09-81
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
17 6 2 z
DATE ISSUED PERMIT NO.
TOTAL
2(.`7' Pit -
41 3
oll_
413 Fzn AV e