1982, 03-08 Permit: 82A-1525 Addition1PLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — idUILUING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. . t 2-1 \`I
LOT
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION - SEE ATTACHED
PARCELNUMBER/S i(0': t.1,.(-C.)-7cr.7;
OWNER
WNER
3.
ADDRESS
€, iilA i
CONTRACTOR
4.
PHONE
"t C CJS C, G�.��rr �j
>oc�CitiE
Cc).S
ZIP
aCk1G
Actual Set Backs in Feet
1South East
North
West I�
PHONE
42 (Cj'703 Z
Size of Parcel
itaX5C>0
Zone Classification
A.ta. sue,cttzuAiv
ADDRESS
DESIGNER
5. ADDRESS
ZIP
Type Const.
T \
Occupancy
Sprinklered
❑Yes 0 N ❑ Req'd.
PHONE
Valuation
Building Area in Sq. Ft.
C U
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE
6.
FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
LJCI EW ❑ ALT. VI AD'N. ❑ RPL.
LJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
i
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not P5eq'd.
DESCRIBE WORK
VALUATION SOURCE
9. 2,k 0
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
'E?
Enum. Dist. I Location (Area)
Ownership ,_,,/f
Public ❑ Private LY
USE CODE
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'S SIGNATURE SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
En H I+
Planning
3/41
Fire Marshall
Co. Engineer
Utilities
91,74, miner
he list
B ilding Technician
1
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
$
47, cE
TOTAL $47
PERMIT NUMLiER
7' az ) - s_
02* *47.00
* [7,00
* 47.006
A *0,00
151.12
03-05-4?2
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
, , t
DATE0'1, ED8
2
15255 -
PERMIT NO.
*47.00`°
hex'''"