1981, 02-03 Permit 81A-1115 Foundation, Sill PlatesAPPLICATION/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
E.. 714 15T
LOT
BLOCK
SUBDIVISION
f\ r,
I IDLUA`1 V\0S)ITtDr\\
OWNER
3. l_IRALDih)L= AL_Lei\
ADDRESS
I✓. —1:314.-
4.
CO TRACTOR
btL s \t.iesr TkECL i i 2L C.Tt c ry
ADDRESS
6Luel ii1V1 A CLI<E r
DESIGNER
PHONE
ZIP
g 2v
PHONE
t4•—d-CX1c
ZIP
4a
ADDRESS
CHANGE OF USE FROM
6.
TYPE
7, OF
WORK
0 NEW
BLD.
❑ ALT.
❑ PLMB.
DESCRIBE WORK
8. 21:?LAci. FU(.(r\lD\ ►o► i
VALUATION
9li t2 DU
SOURCE
OF
UTILITIES
PHONE
ZIP
TO
❑ AD N.
❑ MECH.
OCJ RPL.
❑ M.H.
SILL RLIVI5
GAS
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION — SEE ATTACHED
PARCEL NUMBER/S
26\531— c1ALD(,.
Actual Set Backs in Feet
North South 15 C� East
Size of Parcel
Type Const.
Ohl
Valu Lion
a°l,2Dn
Occupancy
West
Zone Classification
Sprinklered
Oyes ❑No 0 Req'd.
Building Area In Sq. Ft.
1.4
Main Floor I Upper Floors Garage Area I Storage
bon
Area of Decks I Finished Basement Unfinn.Baasement
No. Baths
No. Stories No. Rooms INo. of Dwellings
CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
Enum. Dist. 1Location
(Area)
ELECTRIC
WATER
SEWER
!Fr1�1 (C
Ownership
Public 0 Private all
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 2 /3 fii SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Nb`( Rea
Planning
Fire Marshall
Co. Engineer
Q
Utilities
Plans Examiner
Irtyc IC6i4i.
SEPA Checklist
7Xegniyn
SPECIAL CONDITIONS:
�t✓C^� ThGLAaEO Di\ 42,00 Fog_ O,_AtoDThJN
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $},
Building - 2D .c' C)
Plumbing -
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 2D UC�
PERMIT NUMBER
01A - lll`�
02* *20.00
*2000 17)
*20.006
A *0.00 0
111.4�
02-03-81
z 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
0 2 = 0+'3' - 8 '11 1' 115 g
DATE ISSUED PERMIT NO.
.«2'040.0P —
TOTAL