1982, 07-07 Permit: 82A-5783 AdditionAPPLICATION/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 ADDRESS
C. iS \P, Ne
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLO K
SUB (VISION
OWNER
3. L'At Jtw
ADDRESS
E. l$1 ter,
PHONE
6 2,0•Pa
PARCEL NUMBER/S
LAG AL 'Aert a.c_.bh e
Ia' �i-2436
ZIP
QetotC
Actual Set Backs in Feet
��w
North ISouth 4-1 (East
(West
4.
CONTRACTOR
T01$,3 t Cos.4.4‘11.-12.{
ADDRESS
Ei , YflO �Farx ca6tZ
PHONE
SSS -4ot.G
Size of Parcel
-3. 3x 404 -
Zone Classification
RCz e r cuc.-c c.t a-r>'I�
ZIP
c ckzoG
Type Const.
�>J
Occupancy
Sprinklered
Dyes DNo D Req'd.
5.
DESIGNER
PHONE
Valga tion
-11
ZrSae
-
Building Area In Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
CHANGE OF USE FROM
6.
TO
Area of Decks
Garage Area r
334
Finished Basement
Storage
Unfin. Basement
TYPE a
7. OF
WORK--' BLD.
EW
❑ ALT. 0 AD N. 0 RPL. 0 MVE.
_ 0 PLMB. 0 MECH. 0 M.H. ❑POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
(
CERTIFICATE
-of EXEMPTION --
Req'd.
Recd.
Not 5.eq'd.
DESCRIBE WORK
8.A rT.crsa
VALUATION
9.
ra �AeA4E t.;lE, ss3 (tCm.)ac)
GAS
SOURCE
OF
UTILITIES
ELECTRIC
Enum. Dist.
Location (Area)
SEWER
SEPT tC
WATER
Ownership _/
Public D 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
SIGNATURE OF APPLICAN_�%C�d�FI�C
DATE OF APPLICATION 7-7'- SZ
SPECIAL APPROVALS
L. NAME DATE
En[vv... HHealth
Planning
--7/7/4-2_
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
ON Ftc..c
SEPA Checklist
•
Building echnician
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single �JL$$ ,{-'1
Building "`f' 1 49E>
Plumbing
Mech:
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ A1.e°
PERMIT IS'UMlI4R
0)-‘,;.- S763
02* *47,00
*47.00,5
A *Q.00 8
57a22
,07.=0782
2 6'47 9.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
4ii4 .0
0'7 '4ii7 8'`2.
ei �
5l7 : 813'; Z,
DATE ISSUED PERMIT NO
*;47.00,0.1-,
TOTAL
L�c�Ac Pe502/PT/OAJ
t4/. 285, 85' OF s .S/o' OF
reACT S2) PLAT A C*REEA.4c,ces
/.e.e/AT/o,v P/5TR/GT, E. G8.3
OF S. to/,j 1 OF TKA GT 53 , o1A7
c5,eEEMA cites
P4 eca 41o. /855/- 293(
AooeEss '
/8/16 6. 4600AlG
Sto,CA AIE, 14/A 5k/in.i TAO/
"4"0/6.
26¢
sy 430 A+z4�^
3o'
EX/577j0 mails,reg
EX
/ 6 T/A/4 CSA ¢Ale
ANEW 400.
7V QyA.2A4E
430'
353
5e
30
4'
404-'
ISH
SCs1 L E : 1 = /CO