1982, 03-26 Permit: 82A-2210 FourplexAPPLICATION /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
1. E-. t3iii- \ ? -15 -n Au41
LOT BLOCK SUBDIVISION
2.
WEB:; viecg3 94Q;a; .toe.)
OWNER
3. AMrsrnCc.AN3 ZIAtt,ZI.C? —�
ADDRESS
- Co. rx 13443
PHONE
4.
CONTRACTOR
ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
I 'NEW ❑ ALT.
'BLD. ❑ PLMB.
ZIP
a
PHONE
ZIP
PHONE
ZIP
TO
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S TS o iS544— o ebot
Actual Set Backs in Feet
North9.\ (South 30 +
iize of Parcel
iictx I5o
Type Const. Occupancy
East West ".6G
Zone Classification
Sprinklered
❑Yes ❑NO ❑ Req'd.
Valuation
/25
M.in Fl or Upper Floors
V-5 i S CQa
Building Area in Sq. Ft.
542 C'7
Garage Area
DESCRIBE WORK
8. F
C2 LE �S
VALUATION
SOURCE
OF
UTILITIES
GAS
ELECTRIC
.v
WATE R
SEWER
Area of Decks
N o. Baths
Finished Basemen
Storage
Unfin. Basement
No. Stories
CERTIFICATE
of EXEMPTION
Enum. Dist.
No. Rooms
No. of Dwellings
4
Req'd. Rec'd.
Location (Area)
Ownership �,/
Public ❑ Private t1Q
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 re•ulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIO
DATE OF APPLICATION A _ - �1/- SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
S' ECIAL CONDITIONS: scja„, VALC0 ti
Fjre Marshall
Co. Engineer
n
Utilities
Plans Examiner
SEPA Checklist
Building Technician
T
4447.—
1 r'I Cat 01,1 - i2
c.c.JE CiiN�ruGE
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Not Req'd.
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$ 2,
PERMIT NUMBER
02* *47200
* 47200
* 472008
A *000
220,9 -2_
03 -26 -82
2 6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
j
0,- °26 -82
DATE ISSUED
22102 *472.002r
PERMIT NO. TOTAL
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75.71'
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504 MP447 IG . f -
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11/4"Mt(tie- W/ " VALVE
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