1981, 11-20 Permit 81B-2014 RemodelPLAN NUMBER
APPLIGB'QN/ PERMIT
SPOKANE COUNTY — DING CODES DEPARTMENT
ircnivio
6 20 iq. 1
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
LOT
1•11-G2,3 SQDADWAW
BLOCK
SUBDIVISION
OWNER
IA, D. SIAPTON
ADDRESS
14-623 B,up.Du)A?
CONTRACTOR
ADDRESS
PHONE
C(Z-�i`i11
ZIP
cl42i 6
PHONE
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S 14,5 Z.-9235
S. 2.ea FT tar- G. 165' FT oF-s6 Y-
vF Sicc 141--`fti CX'C (Z.DS,
Actual Set Backs in Feet
North z,►'IS+fdNici
Size of Parcel
Type Const.
V—Psi
Occupancy
R -3
East (West
Zone Classification tit
14C 1WL-NPALwait
—
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5' ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
2600
ZIP
Main Floor
Upper Floors
26-00
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
❑I NEW MALT_ ❑ AD'N. CIRPL. CIMVE.
PBLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
0 OTHER
DESCRIBE WORK BL.DiZ.obMS 1-cc. PEA, L)N'IVC7
8. IN Iaoj . R obCL_ OF SKIS T/Ny Re-SIVENCE.--
VALUATIN
, 9. 2 O0nOx
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWE R
No. Baths
No. Stories
Z
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum, Dist, I Location (Area)
Ownership
Public ❑ Private ❑
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 /J /� / , SIGNATURE OF APPLICANT 111.1 L /'-'L/L
Req'd.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SPECIAL CONDITIONS:
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
J
Building 2t33' cZc-
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
Co
TOTAL $ 3' 3_04#
02* *3c.00
*3800
201.3-
11-20-81
6.479.
WHEN MACHINE VALIDATED IN THIS SPACE.
THIS BECOMES A PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
11-20-8Y
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
20L:45
PERMIT NO.
*58.002� -
TOTAL