1982, 11-12 Permit: 82B-919 DuplexPLAN NUMBER
- 2 d-
APPLICATION /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
JOB ADDRESS
E. 10817 -19 Augusta Ave.
LOT
10
BLOCK
1
LEGAL DESCRIPTION — SEE ATTACHED
SUBDIVISION
Mission Ridge First Addition
3.
4.
OWNERI
c o fJc-
ADD" E55_ 1° /J
CONTRACTOR
Wo7 fl and, Inc.
PHONE
P9Ho$I2592
PARCEL NUMBER /S
095431810
Required Set Backs in Feet3C)
North Si (South `East /d West /0
/
Size of Parcel
901 X 1501
Zone Classification
Duplex
ADDRESS
S. 717 Pines Rd.,
DESIGNE R
Spokane, Wash.
ZI P
99206
Type Const.
Frame
PHONE
5' ADDRESS
6.
CHANGE OF USE FROM
7.
TYPE
OF
WORK
I/ NEW
BLD.
❑ ALT.
❑ PLMB.
ZIP
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
Valuation
DWL Area
875
Occupancy
2-6
Split Entry
Yes
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
1705
Basement rea Garage Area
540�rI►�.� 290
Split Level
Storage
Rancher
No. Baths
No. Floors
2
No. Rooms
12
Rec. Room
2
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
X
DESCRIB E WORK
New Construction
One Story Building Duplex
VALUAT ION
g $72,000.00
Source
of
Utilities
GAS
ELECTRIC
Modern Elec
WATER SEWER
Modern Elec Septic
I hereby certify that I have read and
on reverse side, and know the same
type of work will be complied with
to give auth ority to violate or cancel
performance of construction.
DATE .
DEPT.
Env. Health
A
examined this application and have read the "NOTICE" provisions included
to be true and correct. All provisions of laws and ordinances governing this
whether specified herein or not. The granting of a permit does not presume
the provisions of any other state or local law regulatin jonstruction or the
SIGNATURE
SPECIAL APPROVALS
REQ'D.
REC'D.
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
t%
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
DATE
PERMIT NUMBER
32B -cl19
02* *40200
*4O2Q0
*40200
*000
91,8-2
11 - 1 2 -82
2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1`11112 82 9195 *402.0.0 g
DATE
RECORD OF INSPECTIONS,
REMARKS
1 .� `� �. _ A, •
6114 *10500S,
Final Inspection
INSPECTED BY
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