1982, 11-12 Permit: 82B-928 DuplexPLAN NUMBER
2A- X74
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. 10821 -23 Augusta Ave.
LOT
9
BLOCK SUBDIVISION
1 Mission Ridge First Addition
3.
OWNER
ADDRESS
oLfr1,.mo I c-_,
4.
5. ADDRESS
CONTRACTOR
Wol f land, Inc.
ADDRESS
S. 717 Pines Rd., Spokane, Wash.
DESIGNER
PHONE
aA.
ZI P
PHONE
928 -2592
ZI P
99206
PHONE
6.
CHANGE OF USE FROM
TYPE
7. OF
WORK
LX NEW
BLD.
❑ ALT.
❑ PLMB.
ZIP
TO
❑ AD'N.
❑ MECH:
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER /S
09543 -1809
Required Set Backs in Feet.23Q
North iT South East /O
•
Size of Parcel
11,884
Type Const. Occupancy
Frame
Valuation
17,-6
DESCRIBE WORK
• New Construction
VALUATI ON
9. $72, 000.00
One Story Building Duplex
Source
of
Utilities
GAS
ELECTRIC
Modern Elec
DWL ' rea Basement Area
875 540
Split Entry
Yes
No.,Baths
West ,/D
Zone Classification
Duplex
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
1705
Garage Area
290
Split Level
No. Floors
2
CERTIFICATE
of EXEMPTION
WATER
Modern Elec
Storage
Rancher
No. Rooms
12
Req'd.
SEWER
Septi c
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.
, 1� \,.
DATE /07 ePA
SIGNATURE
DEPT.
Env. Health/
Planning
Fire Marshall
SPECIAL APPROVALS
REQ'D. REC'D.
k-e-L ///
Zone Clearance
SEPA Checklist
SPECIAL CONDITIONS:
r J r L r7
DATE OFFICIAL
APPROVED FOR ISSUANCE
Rec. 2 Room
Rec'd.
Not Req'd.
X
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
DATE
PERMIT NUMBER
324— cl2?
A
*40200
* 40200 V
* 402006
*000
-27-2
11-12-82
6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS B COM A PERMIT.
1' 12 ES -82
92,8 *402002•
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d
DATE REMARKS
J1
{ : -"n
T -i *10500o;.
RECORD OF INSPECTIONS
1
Final Inspection
INSPECTED BY
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