1982, 10-29 Permit: 82B-0358 Residence,PLAN NUMBER
I f,2,4 77
1
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
JOB ADDRESS
it 4- - tRN s
LOT BLOCK
. 3
SUBDIVISION
•
5;\iC 'S I''g At. t �J
3
4.
OWNER�
t' /IACteA ( Qc r re.LA-CTlDti)
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
ADDRESS
,+ , i (g 24- tt17-it
ZIP
ac--tzs
Actual Set Backs in Feet
North `Z� ISouth (East 36' iWest
CONTRACTOR
ADDRESS
DESIGNER
5. ADDRESS
CHANGE OF USE FROM
TO
PHONE
ZI P
PHONE
ZI P
Size of Parcel
CoZ•Ocd*. U?1 A GX
Type Const.
Occupancy
Val
ation
Zone Classification
S o rkW.m,L = r Ar i t t.y
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
c140
//M'��,.�
MainFloor
Upper Floors
Garage Area
Storage
Area of Decks
GxD LA A? C.
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
!'"JNEW ❑ ALT. ❑ AD'N. ❑ RPL.
CJ BLD. ❑ PLMB. 0 MECH. 0 M.H.
❑ MVE.
0 POOL
❑ OTHER
No. Baths
No. Stories
1
No. Rooms No. of Dwellings
T t
CERTIFICATE
of EXEMPTION
Req'd.
DESCRIBE WORK
8' 1".)(L E YAMAt_� �GS.L71�RlGJE
VALUATION
9.
SOU RCE
OF
UTILITIES
GAS
ELECTRIC
WATER
Enum. Dist. I Location (Area)
SEWER
Ownership
Public ❑ Private
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 4• ill 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 re.ulating construction or the
performance of construction. S E RE ERSE SIDE FOR REQUIRED INSPECTION
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
v Peal
Planning
Fire Marshall
Co. Engineer
/0
) -38-0 D.
,
Utilities
7-9
Plans- xaminer
SEPA Checklist
Building Technician
SIGNATURE OF APPLICANT
PECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single $
Building * • }
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERNii NVIBER
� Z
02* *24600
*246006
A *000 g
9850
10-20-82
6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
r0-2'9--82
DATE ISSUED
35.82 *246.00a -
PERMIT NO. TOTAL
FII F COPY
Lot Cost //, .Soo . 9.g -
PLOT PLAN
v�
ELEVATIONS:
Crown of Street 7-75:'
Finish Floor 80
Sewer Elevation
Scale: /
Basic:
/, 05a
77') 1 evQ
Sq. Ft.
/, 05Q
Legal
L 3, 4) / 5',00py.s / r..57- /:-)0V74',0 '7
Model:
Job #
.3 Yd
Address
3 . J % i L .3v r n,5 ed.
Mor age Co.
,, -v
Parcel #
{>-'n o r
d35yy-070s
Backwater Valve:
No
Special Items:
-,
\)1
NWCS FORM # L-7
,Power Co.
�-��
Water Co.
0- -q
Garage:
N v
Front Alternate:
Plumber
Plumber
Excavator
v:.�
`,k,S'
Sewage;
Fire Place:
�- /e a,;� L._
5.
.os