1981, 06-11 Permit: 81A-5835 AdditionPLAN NUMBEFjr1"—
oir
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
JOB ADDRESS
1. C ,1A15 }7TN
LOT
2. 4 -
BLOCK
Z.
SUBDIVISION
11 ALLI y tEW l%tLLS Abo i ( ION
OWN9\F!
3. a ��
ADDRESS
4.
L..3 ) -r'I4t.Rut
PHONE
3413
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
2S -332-
t.
3 z- �?c4
CONTRACTOR
$ INUESTIMEN TS
ZIP
R k2oC
Actual Set Backs in Feet
North '5, South
East 2. IWest
PHONE
S" CXc35
Size of Parcel
1DaX 140
ADDRESS
2efTt4
5.
DESIGNER
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
(�ZD3
PHONE
ZIP
TO
dfN EW ❑ ALT. L'J AD'N. ❑ RPL. ❑ MVE.
CJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
❑ OTHER
Tyjg Const.
Occupancy
2=3
Zone Classification
SvC&I
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation Building Area in Sq. Ft.
1Z�k, sb4.
Main Froor Upper Floors Garage Area
6.64
Storage
Area of Decks
Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Notyq'd.
D SCRIBE WORK
8. j 3 l (M; Db
VALUATION
G -t v"VJVv
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
CoeAAt
SEWER
c
Enum. Dist.
Location (Area)
Ownership
Public ❑ Private d
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 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 INSPECTIOIIS
DATE OF APPLICATIOW
SPECIAL APPROV ' S
NAME DATE
Env. Health
Plan
e.ningOnRna 62-II-k'j
Fire Marshall
Co. Engineer
Utilities
P .ns miner
AlIF
�.� •/•V h e c
Bui ing echnician
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
ebtot Lit. 4 " t-\ E -1 flJ V -il 2 3DU
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
.00
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ Gtd•CO
PERMIT I‘rJJl BrR- Z
SII�'S8�"
02* *9800
*9800
rn-
*98.006
A *000
583.42
06-1 1 -81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
06i iefr 81
DATE ISSUED
58 3.5g *98.00E.F -
PERMIT NO. TOTAL