1982, 07-07 Permit: 82A-5784 AdditionPLi8II1�4'�s E R
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.
2.
3.
J03 ADDRESS
IBL OLK
a
LOT
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
- -I� A 5$3
SUBD N
I CSS v(Det}U L I , -a-
ADD ESS
I5 Ci 404
CONTRACTOR
4. ADDRESS
PHONE
CA -3
ZIP
"71NE
PARCEL NUMBER/S j 5 — 0-3
Q „22
Actual Set Backs in Feet
North JCD (South
ZIP
Size of Parcel
I»4x
Type Clst.
East
'West
Occupancy
Zne Classification
Sprinklered
❑Yes DNo 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
Valuation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
TO
w 0 ALT. ZD N.
BLD. ❑ PLMB. 0 MECH.
Area of Decks
Finished Basement
Unfin. Basement
❑ RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Rgp'd.
DESCRIBE WORK
8.l!
1
.5t
4
/id/