1982, 07-21 Permit: 82A-6270 Fire DamagePLAN NUMBER 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 DDRESS
1.
_ LEGAL DESCRIPTION —.SEE ATTACHED
LOT I BLOCK SUBDIVISION PARCEL NUMBER/S 07
OWNER 99 PHONE L4I 7
3. Lit :s;o 661 Q %
ADD ESS ZIP Actual Set Backs in Feet. S
North South East 1 West
CO TRACTO IyE ' Size of Parcel Z e Classification
4' ADD ESS ���. _ TYpdCgnst. Oered
cup c ❑Yes []No SprinklReq'd.
DESIGNERPHONE ValuationV1 3 Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROMTO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ W ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF i❑ OTHER
WORK lJ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El - CERTIFICATE Req'd. Rec'd.. Not 'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
f��j/�� OF Ownership SE CODE
9, " 11 V UTILITIES Public-❑ Private
Single $
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 Building .
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 Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS I SPECIAL CONDITIONS:
NAME DATE Plan Check
neer
ns Examiner
PERMIT IS -NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
02* * 1 1 440
*
'114,0011
R *0,0b U
62'692
0,7-21 -82
R 6,479. '
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O� i7 ;2='r8s2! 6; 2 T O Z; *' 114' O IO a.
0—
DATE ISSUED PERMIT NO. TOTAL
o..
0
U
W
J
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