1981, 05-27 Permit 81A-5143 Addition[PLAN NUMBER
8/A` /�%r0
(1)J
51 -277/ V 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
1.
JOB ADDRESS
C. AA-toC, '13'.DADt )k'1
LOT
2.
B OCK
SUCUI V ISIUIV
OWNER
3, (Yl r U S 111/1 L».J 11W
4.
ADDRESS
E. I4IoL IN-L AObok(
CONTRACTOR
npI , %u.'\ant C AR3 NETS i i164/tbDeL(A)6,
ADDRESS
A 11 L4 1Mvi1STGai11E(j tl
DESIGNER
PHONE
ZIP
eA4AZ1�
PHONE
ZIP
cIA ZsX.
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S IAA v4 F W V-z E1CL. Sr l(.aS
TrZA .K. ?"`3 V ErZrk
14- 4.3" 13uz.
Actual Set Backs in Feet
Z
North c South
Size of Parcel
i5M 1"�U
East 'West 44
Zone Classification
AL,.4n tL Lk2OAK.)
Type Const. I Occupancy Sprinklered
ILO CL 3
Val tion
V40f(gO#--
❑Yes ❑No 0 Req'd.
Building Area In Sq. Ft.
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
ZIP
TO
01,NEW 0 ALT. AD N. ❑ RPL.
LI BLD. ❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
❑ POOL
0 OTHER
Main Floor
1514
Upper Floors Garage Area Storage
Area of Decks
140 e.DJ0.Ef)
Finished Basement
No. Baths
No. Stories
Unfin. Basement
(4tl)
Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd. Rec'd.
Not (teq'd.
DESCRIBE WORK
Ao01 i o —1-0 I2cx c nx.e
Enum. Dist.
Location (Area)
I VALUATION
�f6v4-
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
(;EPt
Ownership
Public 0 Private tel
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 INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
En 1Hea
Fire Marshall
Co. Engineer
Utilities
fans Examiner
SEPA Checklist
1F'o5Tf u1M7 ')Z1I81
SIGNATURE OF APPLICA
SPE IAL CONDITIONS:
1•1GAT Le4,5 C(rrutATIt 1'.J ELEI/;1ilcra5
�t. ZbE "rU2n� i1Eo i �J t t t1 n� iG 'Q AVS • Foc'i rt 4\ rchat•aivrte,r»
E1AL i\Llt 4..rb
is t 1L T'vN V F t.1
)c.( Tt(IJ "ft vt FtrAiltE ./
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ •rTT +041
PERMIT NUMBER
lf� - 5143
02* *242.00
*21 200 1
*242,0H
A *0.00
485,9R
05=1981
2 G47`9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
(LyJ`JIding�T�Ve(chSnician
;
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
'015:L-7 2' T 8i 1:
DATE ISSUED
514,31 *2.423 0 a -
PERMIT NO. TOTAL