1982, 12-14 Permit: 82B-1923 DuplexPLAN NUMBER
APPLICATIOI11 /PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 -3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 4 COPIES
1.
2.
3.
JOB ADDRESS
E. 11003 -05 Augusta Ave.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
4
OWNER
BLOCK
2
SUBDIVISION
Mission Ridge First Addition
PHONE
PARCEL NUMBER /S
09543 -1904
ADDRESS
ZI P
4.
CONTRACTOR
Wolfland, Inc.
Required Set Backs in Feet
North !/G^ I 'South , O
PHONE Size of Parcel
928 -2592 14,877
East JO West /D
Zone Classification
Duplex
ADDRESS
S. 717 Pines Rd., Spokane,
Wash.
ZI P 99206
Type Const.
Frame
Occupancy
3
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
1705
ZI P
DWL Area Basement Area
875 540
Garage Area Storage
290
CHANGE OF USE FROM
6.
TO
Split Entry
Yes
Split Level
Rancher
7.
TYPE
OF
WORK
OS NEW
BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Nq. Baths
No. Floors
2
No. Rooms
12
Rec. 2 Room
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
X
DESCRIBE WORK
8. New Construction
One Story Building Duplex
VALUATION
9 $72,000.00
Source
of
Utilities
GAS
ELECTRIC
Modern Elec
WATER
Modern Elec
SEWER
Septic
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 s e or II al w regula ' g construction or the
performance of construction. G(%6��j� I�t�/_�.
DATE SIGNATURE _9
SPECIAL APPROVALS
DEPT. REQ'D. REC'D.
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
(i�
"b2 -( (c?
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE
// 22.
FEES COLLECTED
Single $
Buildingyi
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
DATE
02* *40200
1922
12- 14 -82
2 6,479,
c
_ w
a.
to
WHEN MACHINE VALIDATED IN THIS SPACE,
THISfcOELIIiMIT.
19232 *402.0001
. .
•
i ..
k•-:0
. .
0 . .
C.
sa. ...,
c >-
- CO
. co cn
c
in
c,-: I-
C)
w
LL
U)
Z
I
i 1
1
1 .
I .
I I in
IZ 1--- 4
I
1 ;'
0 . .
NM
IIM
0
IIIII (
. ,
•
(01)
..,---,
. .
...' Z
, .
ii,
O ..
,
. 0 . ,
0
. . ...
.
O . _.
_
ILI _
_,•
U)
_.,.
cc
< ,
2 . ,
..,
u_I
, .
cc
. —,•
) <
. ,
. .
I ,
I .
-.)
. .
—. . . .
,• zD
. .
_.,
. ,
0 .
, r • .
w 0 1
I— .
. , , , .
.
0
..egt7s/c. /V/6- 4 C)PL6,J(
Jo /,
e t.
/ ioas-66- ma dsm
Zer . .71 m is s /4 A/
Til)4E 001/2.57" AlDPIT/O4/