1981, 02-27 Permit 81A-1852 Residence, GarageerUMBER-
CI 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
.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
. D
BLOCK
SUBDIVIS ON
llir:
\TiON
OWNER
3. etkV,1-k_fo-Ti-E
4.
ADDRESS
1b12L, 'eRae.-{ "ba,
CONTRACTOR
AME
PHONE
94-6
ZIP
Cio! o.%)
PHONE
PARCEL NUMBER/S
Actual Set Backs in Feet 0North 70/ ISouth 1044•
Size of Parcel
\ 6xJcI~�
I �
East I 0 (West "17.
Zone Classification
PAL . �71 lk�at�t ttkry
ADDRESS
4]A Y._
ZIP
Type Const.
Occupancy
i�.:31(tif-1
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
ValAtation Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
CHANGE OF USE FROM
6.
TO
Upper Floors
Area of Decks
TYPE y NEW
7. OF
rf
❑ ALT.
WORK BLD. ❑ PLMB.
DESCRIBE WORK
❑ AD'N. ❑ RPL. 0 MVE.
0 MECH. 0 M.H. 0 POOL
8 NLy r `1ac(~I cIE
❑ OTHER
No3. Baths
Garage Area
-1OL%4r,
Finished Basement
No. Stories
1
Storage
Unfin. Basement
No. Rooms
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
VALUATION SOURCE GAS ELECTRIC SEWER Ownership / USE CODE
AIR+��{i///�� 2�•�4�Pn OF Public ❑ Private I]a
,24-E UTILITIES � �
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. SE REV RSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION 2
WATER
SIGNATURE OF APPLICANT
to
SPECIAL APPROVALS
NAME DATE
Env. Health
FLU 5
Planning
z1z•5181
Fire Marshall
SPECIAL CONDITIONS:
Co. Engineer
1, • `—,/11.4/CE-
Utilities
z//q/
Plans Examiner
To M P31t..€.wArn 2/24 g
SEPA Checklist
-50
No. of Dwellings
Rec'd.
Not 5eq'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
433");)
$ 4:)3.
PERMIT NUMBEeR
02:* *4C 30'0
*4C 3.00 to
*4C 3.0.06
A *000
167.6�
02(-2C-81
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
BuildiTechnician
) L5- 41
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
18.2z. *'4015,00aH
PERMIT NO. TOTAL
-m-.
97.51
j 6ea yoo.
R¢S;ae„ce
IH5
rerr
f2 t Dr.
11
li
�000 �a11or+-1-o...K
Ga ✓a of e