1982, 07-08 Permit: 82A-5819 AdditionPLAN NUMDER
l
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
1. 6 �31
LOT BL CK
2. BL
2
3.
4.
5.
OWNER IA-
A!).
�
AO RRiESSS
l3i
CO N�TiRACTOR
LEGAL DESCRIPTION - SEE ATTACHED
SUBDIV SION
000 -nits Vi Wilt
.J . NA a Ro[fi l.,i�
iz Let,
RH ONE
U
PARCEL NUMBER/S `44) --O6,zG
Actual Set Backs in Feet
North 'South'
IC. (t.
East 'West
Size o(Parcel Z ne Cla1s1si//ficabon
�� W
c,d7c 17J�J 1
ADDRESS
DESIGNER
ADDRESS
PHONE
ZIP
Ty\kl Const.
Valuation& W
Main Floor
CHANGE OF USE FROM
6.
TO
iUpp er.F Dors
�
Area of Decks
Sprinklered
❑Yes ❑No 0 Req'd.
Building Area In Sq. Ft.
Garage Area
•
Storage •
Finished Basement
Unfin.. Basement
7.
TYPE
OF .•
WORK
❑ EW
BLO.
BLD.
O ALT.
O PLMB.
EKD N.
0 MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
NA 7q'd.
DESCII1R 'IIB
8.
VALUATION
9.
(G R'� ✓" 'r — 06'00 IMV (' Y f Icy 44-
4 WATER
SOURCE
OF
UTILITIES
GAS
LECTRIC
Enum. Dist.
Location (Area)
SEWER
tarp-(ic,
Ownership
Public 0 Private
'SE 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 worfid< will be complied with whether specified herein or not. The grantinr of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local. regulat'•g construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPEC
SIGNATURE OF APPLICAN ,/ '4 ,t
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env
i .
Planning
Fire Marshall
Co. Engineer
Utilities
4tr
i' Chec list
SPECIAL CONDITIONS:
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 $ "'L%
PERMIT NUgBER
St -A- 549 \oi
02'* *6800
+*'68006
to • '*000 8
5`8:1.82
07'�0��82
2 64.79-
›-
-4
479-
WHEN
WHEN MACHINEVALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
I V.01 i1tI 58L9z *;68,00 0.
DATE ISSUED PERMIT NO.
TOTAL
0J
LA -
ExisE. Garage
P r u 1