1982, 06-22 Permit: 82A-5209 4-PlexPLAN NUMBER
x'24 X62
APPLICATION/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. JOB 5'v ADDRESS/'.9 /4/ R14 of
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2. Zor
BLOCK
SUBDIVISIONfC�
3 OPSZa
P/I�-jONE
PARCEL. NUMBER/S
X06113 - Oc�
�
A DRESSy�j P/4'45:�Cs'lfj
CONTRACTOR /'
ADDRESS gp 074. (It*: 177-,
L. 4,,)?t
5.
GNER
popifl
Actual Set B cks in Feet
North ` ISouthL.✓ East
(West
PHONE gl?g
e.4.9 -..9V
Size of Parcel
ZIP
off'/
Is Iii
Type corp. OcctlpancY
Zone Classification
/tit ` MI
AS rinklered
❑Yeslo ❑ Req'd.
Valuation m,
CHANGE OF USE FROM
6.
TO
TYPE
7, OF
WORK
❑ ALT. ❑ AD N. ❑ RPL. 0 MVE.
❑ PLMB. 0 MECH. 0 M.H. 0 POOL
0 OTHER
Main Floor
A/ ofODecks
//a
Uppe
Building Area in Sq. Ft.
r Floors Gar
Storage
No. Baths
Finished Basement
Unfin. Basement
No.
�
IW,S�tories
C
No. Rooms
G
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not eq'
DESCRIBE WO, ,
8.
VALUAN
SOURCE
OF
UTILITIES
9.%
G! ELECTRIC
WATER
SEWER
JWER
Enum. Dist. I Location (Area)
Ownership USE CODE
Public ❑ Private
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 INSPECTIONS
DATE OF APPLICATION / e
SIGNATURE OF APPLICANT �i'""""
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Hea'i
Y ?I/,
annin •
Fire Marshall
13rd) W4,Vt ezFrrA9ki 0&RAT:
(4-11-s °IJ L°1".19
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
—
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
* U6*00
* „600
n, * 0 0
5 C U 8 --
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,61 '2,2'-82 520:9g *686.0'0
DATE ISSUED
PERMIT NO. TOTAL
Fil F COPY