1982, 09-09 Permit: 82A-7947 Residence w/Attached GaragePLAN NUMBER ,�/(�
F ,247
APPLICATION /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
L u/
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
_fs7 �'NEW
JOB ADDRESS
1. N 120 49AN1 s
LOT
2. 3
BLOCK SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
1 N-1) NE_ A PPiTroIJ
OWNER
3. c 12-05By 1:N TEJL.Pf-i 5(E-5 iNc
ADDRESS
N ._ 1504 PINES R.DAb
CONTRACTOR
4. - S/}il/lc
ADDRESS
PHONE
122 —2-2.00
ZIP
`7g2-0�
PARCEL NUMBER /S (45j( 2___ 3G03
Actual Set Backs in Feet
a
I
North 1 71 'South ? 7
East
'West9(,)
' O J
PHONE
Size of Parcel
yb1 X 1'O`
Zone Classification
S�I�E L Ft%MILy fS
ZI P
Type Const.
V -N
Occupancy
g- -3
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
J. ADDRESS
PHONE
ZIP
Valuation
Z. 592° jc
Main Floor
2q
Building Area in Sq. Ft.
/O
Upper Floors Garage Area
Lt
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
El ALT.
L` LD. ❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
7
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. c isd C;F__
VALUATION
9.
SOURCE GAS
OF
UTILITIES
"rT/Ci- go Dg- ' '
ELECTRIC WATER SEWER
Enum. Dist.
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 cons_tion or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
EE7 ealth
Ianning 9/3
Fire Marshall
Co. Engi eer
/7- 0§2-
Utilities qcfr
Plans Examiner
SEPA Checklist
Building Technician
7a1? iirr-
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
l 7/743
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
cc
TOTAL $ 2.3if 1(f'
PERMIT-NU alBER-
32 -77
02* *234.00
*234,006
A *000
794.6
'09 -09 -82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
09 a 9- —1 '2
DATE ISSUED
79472 *23404°!'
PERMIT NO. TO AL
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L 6> 7- 3 , )() k". sev-e Alh:;/Y
ECIPRIMES , INC.
N. 1506 PINES RD.
SPOKANE, WA 99206
I 922-2200
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