9TH ST E 10212 UNIVERSITY CAMPUS ADD RESTROOM ��1.4N NUMBER �1PPL ICAT ION PER M IT I�ERMIT NUMBER i
SPOK�INE CUIJNTY DEPARTMENT OF BUILDING SAFETY I
NORTH 811 JEFFERSON SPOKANE, WASHINGTON 99260 /(509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES PRESS HAR� TO MAKE 3 COPIES
STREETADDRESS PARCEL NO.
1 E. t o� y 2 ctT'� Ac,� Z osq-�+- c�, l
oT BLOCK SuBO�visiotv LEGAL DESCRIPTION: UN�uEtzs►TV �r t YT oF �����t"y
Cp•w►?�►s �R ��c �to�' c��= N c��o' �cs�
OWNER PHONE PHONE x�. `3�. C.C>' V 1� 17.�C�' p� E• �,D1 •��y'
T�.�.. J�� s���,�;s-r. a zz l
MAILING AOORESS Z�p Actual5et Badcs in Feet to:
I�,�j ���OwL�tSW aCt� Nath �South IEBSt I Wpat
CONTRACTOR LICENSE EXPIRES PHONE Sizeof Parcel ZorteClassiifcation q�i�tial G
4 Z4 A�C.¢.� �PPeox 5 cxmmercia� e�
ADDRESS ZIP TypeCortst. Oocupancy Sprinklered
❑Yes DNo �eq'd.
DESIGNER PHONE NewConst. Valuation Remodeled Valuatlon Total Bldg Fioor Area
�2R O'�� L i 'L Q �-a'�
ADDRESS ZIP Main Floo� Upper Floors Garage/Storage Greenhouse
_,P�I �t E,� G1�'tz.bG
CHANGE OF USE FROM TO Cover Dedc Uncv. Deck Fin. Basement Unfin. Basement
6.
No. 8aths No. Floors No. Fin. Rooms No. Owellings
TYPE NEW O ALT. O AD' N. O RPL. Q MVE.
OF O OTHER
WORK �BLD. PLMB. MECH. M.H. D POOL Certiti. ot Exempt. Required YesC NoC Number
orVarianoe �ived Yes� NoC
DESCFiIBE WORK ShorelineslFlood Hazard Plans Required
8. �E`� TR.C�O �v� r i�c.1 �..1T� ES YesC Not Applic. D Received G✓
VALUATION SDURCE GAS ELECTRIC WATER SEWAGE/ pN,n�rship
9 lffIUTIES PRIVA E O SEWER Public Private FEES COLLECTED
�'�:�reby certify that I have read and examined this application and have read the 'NOTICE" provisions included on
rev�rse side, and know the same to be true and cofrect. All provisions of laws and ordinances governing this type o9 Building
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au-
thority to vlolate or cancel the provisions of any other state or local law regulating construction o� the performance
of construction. SEE REVERSE SIDE FOR REOUIREO INSPECTIONS Plumbing
SI�NATURE OF APPLICATION
OWNER OR AGENT DATE Mech.
SPECIAL APPROVALS SPECIAI CONDITIONS: (SEE REVERSE SI�E FOR NOTICE)
PflELIM. FINAL DATE Plan Check
EM }�ealth
SEPA
Planrnng
Modular
Flre MFG. Home
P+event.
O
E�gineer t Other (Spetify) W
j`
J
UlilltiB� 1
TOTAL
SEPA
c�ru�s PERMIT IS NONTRANSFERABLE �NHEN MACHINE VALIDATED IN THIS SPACE�
THIS BECOMES A PERMIT.
F P�' PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Ea�ildin� �,��y I N 180 DAYS
TeCl�.
DATE ISSUED PERMIT NO. TOTAI
1
1 u
i i VV
j�
II E 4
q�
)USE G���
I �C�
1 y V
,tl
i
�j
N
�J Q
Y �TS ►�v►.+.
7 c. 8
4 �l
s
t,'
t 9
i
`t„ v'1 V �A�.t
1
BQ�:
i i
l 'L� 6��LV. V�/�7l�
L1?�IE ►a'� Ml1.! CO�/�.. aw�a►wa c�s�tt+Et�
R A G E V A N �•�-�x z�o uUr...��
o� ��w uu�, vc� r�Y J
j' rz��,�� rz sPrz, N�.t� rz v�l
4 SY�JT'�IV� f�l 5 �gC�• 'Y S�"I�tT IVt��r
i,
�'Ab 1�tOUt�t'j�t�, �LCG. i
"T �1 C'o��lER. t�T Hc r�'' G�
v�
�R.
r
.�_.r��
j ._�---f'" t
a f 't
I
t
R�s
ru�
u