1981, 09-01 Permit: 81A-8770 ResidencePLAN NUMBER i `1
APPLICATON/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
JOB ADDRESS
1 LOT BLOCK SUBDIVISION
2. 4
OWNER
Uc,�., +�ccYt
3
4.
LEGAL DESCRIPTION - SEE ATTACHED
f\ birLOVJ
PHONE
PARCEL NUMBER/S
4f5e4i — ‘Gt04
ADDRESS
l:.,ilOtZC, SG T rz•
-
CONTRACTOR
Jr1AA
ZIP
��cZOCp
Actual Set Backs in Feet
North !South [East (West
PHONE
Size of Parcel
10°XZ43
Zone Classification
ADDRESS
Sk rhe
DESIGNER
5' ADDRESS
ZIP
Type Const.
Occupancy
..31M-1
Sprinklered
Oyes ❑No ❑ Req'd.
PHONE
ZIP
Valuation
4* -15/
Main Floor
1(53
Building Area in Sq. Ft.
2241
Upper Floors Garage Area
1170 5ESB
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
( LAkiC.
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
IJ NEW
l BLD.
❑ ALT.
O PLMB.
❑ AD'N.
O MECH.
O RPL.
❑ M.H.
❑ MVE.
O POOL
0 OTHER
No. Baths
No. Stories
Z
No. Rooms
10
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. 't311v6,t_E��S►DE(vc'F. aAt2.ALzc
Enum. Dist,
ILocation (Area)
VALUATION
SOI RCESI GAS ELECTRIC WATER
OF
SEWER
Ott G
Ownership
Public ❑ Private rfil
USE CODE
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
type of work will be complied with whether specified herein or not. The granting of a permit does no presume
to give authority to vi' to or cancel the provisions of any other state or local law regulating construor the
performance of constru. 'n. SEE REVERSE SIDE FOR REQUIRED INSPEC
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
6L -L4 5
Planning
Fire Marshall
Plans Examiner
1 3T eC-4 0
SEPA Checklist
Buildi g Technician
e
I, (41 / SIGNATURE OF APPLICANT
PECIAL CONDITIONS:
NAS APPr-2-,ee o Se -i cyr ?c ANS
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
FEES COLLECTED
Single $
Building t .Vo
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $A •Ob
PERM)T NUMBER
�t�-�j11U
02* *36t00
* 361.00 rn-
* 361.006
A *0.00
80Q:02
08-10-81
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0i9" -.0x',.11` 877.02 *.3.61.00a
PERMIT NO. TOTAL
E. /0604 4G±
Lf• 4 eI.)- Pon! r. P,..c
(,'K4 Ad4r#'.r
6o"
/If
60-
%.ee rile.. b^K
v'
4' %atop.• l♦er,c
2C-
46" Ave. co' „edt,