1981, 05-04 Permit 81A-4293 FourplexPLAN NUMBER
f3,A- �3�4 / �I /'// S /
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3676
APPLICANT COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
3.
JQB ADORES
lr
LOT BLOCK
OWNER
ADDRESS
�\// /\v.
SUBDIVISION
nwct=cTJ 1,1 1.-r"
�• ram- 17
CONTRACTOR
4• ADDRESS
6.
PHONE
94 2& 2
ZIP
99 2 2
PHONE
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/5 Ir % , 2 ,. , ' I p 2�
of 61 o Vim, or TIP-AGTC7 17 l.`t'� •
or 14. '¢r I W, 7+1 of T I ib
te• oC a/ /i</17
Actual Set oBaacks In Feet 14 ��r
North �0 'South IEast / 5 'IWest
Size ofparcel iOccupancy
IS 1
DESIGNER
f�0 r T A►.
ZIP
ADD
R SS
�. 10714— Tf
CHANGE OF USE FROM
TO
Zjp
/ge$ Const.
Main Fluor Upper Floors
`,o6
Area of,Dec <s Finished Basement
Zone 99IassifIcation
Sprinklered
❑Yes _MNo ❑ Req'd.
Building Area in Sq. Ft.
1
Garage Area
Storage
Unfin. Basement
TYPE
7, OF
WORK
LVS )EW ❑ ALT.
le/BLD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
N;i3aths No. Stories
T7i>v
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBBEWORK
VAL ATION sou RCE
9. q 1 000
Enum. Dist.
Ownership
Public ❑ Private
herea 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
Location (Area)
USE CODE
OF
UTILITIES
(-1di-c—)
GAS ELECTRIC
WATER
I/10/4r4q\I
SEWER
srtG
DATE OF APPLICATION '4i /21 SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
lanning
Fire Marshall
Engineer
Utilities
SPECIAL CONDITIONS: V
L4C. CK� HT-�f� iKN)
-0, 4 a74
g///,..e;z7-,?54) a 6 e).12-4., Z.;),;&:?z/iit-no
40v,
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. o
Rec'd.
Dwellings
FEES COLLECTED
Single Q $
Building Cf kis
Plumbing
Mech.
Plan Checke";S •
SEPA
Mobile Home
Other (Specify) SI f-
AMMoiaii4,:t�t-ti1.4
TOTAL
PERMIT NUM nE^
05* *263.00
*263.00
*263006
A *0.00
376[I.z
04-21-81
z 6479,
05* *aoo
*�_
*8.08.00�0
A *0.00
429,1
05-04-811
z 6479.
02* *410800
ir41 U.00
*41 8.006 -
A *0,00 8
429,22
05'-04-81
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 !! ' 6' 4► •' 8i11
DATE ISSUED
4 2 9.3 z *16 '8 9, 0: 0 0. -
PERMIT NO.
TOTAL