1982, 11-12 Permit: 82B-932 DuplexPLAN NUMBER
gam- 271-
APPLIOAT!ON /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. 10906 -08 Augusta Ave.
LEGAL DESCRIPTION - SEE ATTACHED
BLOCK
2
SUBDIVISION
LOT
16
OWNE
klopiolo INK--
ADDRESS
Mission Ridge First Addition
PHONE
PARCEL NUMBER /S
09543-1916
ZIP
Required Set Backs in Feet
North , 'South .5'3 / East /O (West JL7
4.
CONTRACTOR
Wol f l and, Inc.
PHONE
928 -2592
Size of Parcel
11,250
Zone Classification
Duplex
ADDRESS
717 Pines Rd., Spokane, Wash.
ZIP
99206
Type Const.
Frame
Of4upancy
DESIGNER
5. ADDRESS
PHONE
Valuation
C7 p 1 2- )
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
1705
ZIP
DWL Area Basement Area
875 540
Garage Area
290
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
Split Entry
Split Level
Rancher
NEW ❑ ALT. ❑ AD'N. ❑ RPL. El MVE.
❑ OTHER
LBLD. ❑ PLMB. ❑ MECH: ❑ M.H. ❑ POOL
No.4 Baths
No. 2 Floors
No. Rooms
12
Rec. Room
2
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
X
DESCRIBE WORK
8. New Construction
VALUATION
g. $72,000.00
One Story Building Duplex
Source ELECTRIC
Modern Elec.
Sou
of
Utilities
GAS
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 state or Iocalegulating construction or the
performance of construction. /i 1
DATE i�G1 SIGNAT R
DEPT.
SPECIAL APPROVALS
REQ'D. REC'D.
Env. Health
(/ .1) ///
Planning
Fire Marshall
Co. Engineer
Utilities
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
DATE OFFICIAL
APPROVED FOR ISSUANCE
FEES COLLECTED
Single $
Building c 1—
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
DATE
PERMIT NUMBER
02* *40200
*402.00
*402.00
A *000
93.1
.11 —12-82
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. 9 3 2 z * 4 Q �� n n o-
1'1 12 - 8 2
DATE
C•
RECORD OF INSPECT, NS
Final Inspection
REMARKS INSPECTED BY
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