1982, 09-17 Permit: 82A-8337 ResidencePLAN NUMBER
I)
APPLICATIO 1 /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
1.
2.
3.
4.
JOB /Y^ADDRESS
3 1 ��
LOT BUCK SUBDIVISION
kAPPE,R
OWNER
C2-31,■!St
ADDRESS
CONTRACTOR
It
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
PHONE
ZIP
Actual Set Backs in Feet _ _
North v t) ISouth °' East West 1
PHONE
Size of Parcel
14,4 )1' Ibtb —j4.
ADDRESS
ZIP
Type Const.
Occupancy
Zone Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
5.
DESNER
ADDR ESS
6.
o tL �c
CHANGE OF USE FROM
PHONE
Valuation
Building-Area in Sq. Ft.
ZIP
Mait?i Floor
Upper Floors
Garage Area
Storage
TO
Area of Decks
60 1�
Finished
Basement
Unfin- Basement_
'7S
7.
TYPE
OF
WORK
BLD.
❑ ALT.
❑ PLMB.
''j tai If.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
DESCRIBE WORK
8.
VALUATION
9.
fn (AA t\e'D T 1
ELECTRIC
SOURCE
OF
UTILITIES
GAS
No. Baths
No. Stories
No. Rooms
No. o Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. I Location (Area)
Req'd.
Rec'd.
Not ,F2 'd.
WATER
SEWER
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 construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT! S
DATE OF APPLICATION �--x SIGNATURE OF APPLICA
SPECIAL APPROVALS
NAME DATE
)6En ,,Heath
PI:' ing
ire Marshall
SPECIAL CONDITIONS:
Exa
finer
SEPA Checklist
BuTechnician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$
?4
TOTAL $ 21 r
M
PERMIT N BE
337
C.i l�
*246.00
*246006
A *000
749.12
08. 25-82
2 6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0<9 7 -i8 '2
DATE ISSUED
833.72 *246.002p'
PERMIT NO. TOTAL
4,_••••■"
b..).
45+-cP1
2,1,111
IC)'
( //=2P' 1
-'
r.z\
,e
1 1
t
I. z7.-.
It
tcxy
v›,••••?..• •
-r-
N
N