1982, 06-18 Permit: 82A-5122 FourplexPLAN NUMBER APPLICATION/ PERMIT
L SPOKANE CO
' ADDRESS
ZIP
Type Const.
LINTY - BUILDING CODES DEPARTMENT
4- -- V- Ovw,a, ti._
Sprinklered
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
�, —,
❑Yes []No ❑ Rewd.
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
Val tion
JOB ADDRESS
5.
E-7-
ZIP
Main Floor Upper
LEGAL DESCRIPTION — SEE ATTACHED
Garage Area
LOT
BLOCK
SUBDIVISION
i5C�;
PARCEL NUMBER /S
2.
1
1
yJlJicatiT�4E�
Area of Decks
I
OWNER
7-0-
6.
PHONE
TYPE
NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
ADDRESS
No. of Dwellings
7, OF ❑ OTHER
ZIP
Actual Set Backs in Feet
�)`'tI
WORK W BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
WA
Recd.
Not Req'd.
CONTRACTOR
of EXEMPTION
PHONE
� North South East West
Size of Parcel Zone Classification
A
Y+t6
Location (Area)
8. � .z, pLeF`x trb _ ��
'it q %e i lsb W�%.
' ADDRESS
ZIP
Type Const.
Occupancy
4- -- V- Ovw,a, ti._
Sprinklered
u
�, —,
❑Yes []No ❑ Rewd.
DESIGNER
PHONE
Val tion
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
i5C�;
%5('00
--�
CHANGE OF USE FROM
Area of Decks
Finished Basement
Untin. Basement
7-0-
6.
TYPE
NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
�
�)`'tI
WORK W BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
8. � .z, pLeF`x trb _ ��
FEES COLLECTED
VALUATION SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
OF
9. UTILITIES
�
Public ❑ Private
Single $
1 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
'ra
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building CIO
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 INSPECTION
Plumbing
DATE OF APPLICATION 2/ SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVAL I SPECIAL CONDITIONS: rSeLc
1 1 NAME DATE
Planning
Fire Marshall
Co. Enqineer
6-+
tilities
ans Examiner
-PA Checklist
ding Technician PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
PERMi I- NUMBER
5°A - ;5 I2.
02* *4720.0
*47200-
A *O,C0
49[,3-9
06 -1 4 -iE 2
�3 6479,
SEPA I >
a
O
U
Mobile Home I w
Other (Specify)
TOTAL $�'g�
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
e
06, 8''8-92 51Z2z *472.00a-FJ
DATE ISSUED PERMIT NO. TOTAL
G
Im
1310 1
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MN
51 ki U4uT Fact
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