HomeMy WebLinkAbout1982, 07-07 Permit: 82A-5764 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — IULi ING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
JOB ADDRESS
. 10,4 CAW N.)
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
2.
SUBDIVISION
p_ia� �� � � hti i :AG
OWNER
3. EC)
ADDRESS /�
- ►ct a CA4..)UUV
PHONE
5
PARCEL NUMBER/S
0.31401 zot)
ZIP
Actual Set Backs in Feet
North (South J
East (West 349'
4.
CONTRACTOR
"F5V A E rSCL•' s
PHONE
Cr29.-144r'SgCIO t
Size of Parcel
Zone Classification
ADDRESS
1-J 1lv:-:r..iCt
ZIP
Type Const.
IE.IV
Occupancy
Sprinklered
Yes No 0 Req'd.
DESIGNER
5. ADDRESS
PHONE
*ation
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
7.
TYPE
OF
WORK
�
EW 0 ALT.
BLD. ❑ PLMB.
12/AD'N.
0 MECH.
O RPL.
O M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not ,eq'd.
DESCRIBE WORK
8- 324'ZUiTic,r'U "KU
VALUATION
9.
{ i D6ro)C"cci_o j r TC�iZG4sk
Enum. Dist. I Location (Area)
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
Public ❑ Private
I hereby certify that 1 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 c. struction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
i
DATE OF APPLICATION 1 8'2
SPECIAL APPROVALS
NAME DATE
Env. Health
iN1 19—r 1Z6c2 �.
Planning
Fire Marshall
Co. Engineer
Utilities
P s Examiner
P ecklist
Buding Technician
!'" r3G"'V
SIGNATURE OF APPLICAN
SPECIAL CONDITIONS:
Cvue2. DVC r•c", C:orvettes
•
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 $at
PERMIT NUMBER
02* *2000
*20006
A *000
57632
07-07-82
2 614.79,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-'07_$
DATE ISSUED
57(>.4z *20.000.1-
PERMIT NO. TOTAL