1982, 06-09 Permit: 82A-4734 Roofing SidingNUMBER
APPLICATI.ON 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
PERMIT NUMBER
02* *20.0..0
*20,00
*20.0.0
A *a0.0
47332"
06,=09-8:2•
.z ..6479
DESCRIBE WORK
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' T "ELECTRIC
JOB ADDRESS
FEES COLLECTED .
"
SOUR
GAS
LEGAL DESCRIPTION — SEE ATTACHED
WATER
LOT
BLOCK
SUBDIVISION
PARCELNUMBER/SGi+.f?��a AVE,
2.
,
Public ❑Private
OWNER
PHONE
.3.:.
ADDRESS
Single $ -.
ZIP
Actual Set Backs in. Feet V- k<j Ce (� .
CF
on -reverse side; and- know-tK same -to -b -e "trueld d� correct. Allm7provlslons oflaws and-`ordlnances'governing this-
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type of work will be complied with whether specified herein or not. The granting of a permit does not presume
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to give authority to violate or cancel the provisions of any other state or local law regulating construction or -the
North . South East West
CONTRACTOR
Plumbing
PHONE
Size of Parcel
Zone Classification
DATE OF APPLICATION_(=� SIGNATURE OF APPLICA
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
ADDRESS'
NAME. DATE
ZIP
Type Const.
Occupancy.
Sprinklered
SEPA
-
❑Yes .❑No ❑ Req'd.
. Planning
DESIGNER
..
PHONE
ValuationBuilding
"
Area ,in Sq. Ft.
5.
��
Fire Marshall
�-era ;• , ,
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
Utilities
CHANGE OF USE FROM
TO,
Area of Decks
Finished Basement-
Unfin: Basement
6.
Plans Examiner
_
-
TYPE" ❑NjW ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths:
No. Stories
No..Rooms
No. of Dwellings
7.
OF — /
❑ OTHER
CERTIFICATE.
of EXEMPTION
eq'd.
Rec'd..
Not Re 'd.
v "
WORK. BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
PERMIT NUMBER
02* *20.0..0
*20,00
*20.0.0
A *a0.0
47332"
06,=09-8:2•
.z ..6479
DESCRIBE WORK
.8�V •yC��%n/�cL
' T "ELECTRIC
Enum. Dist. Location (Area)
FEES COLLECTED .
VAL ATION
SOUR
GAS
WATER
SEWER
Ownership USE CODE
-
OF
UTILITIES
,
Public ❑Private
Single $ -.
I hereby certify'that I have read and examined this application and have read the "NOTICE provisions included
on -reverse side; and- know-tK same -to -b -e "trueld d� correct. Allm7provlslons oflaws and-`ordlnances'governing this-
-" -- -
�-
-� -
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
.Building
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 INSKCT-1-ONS
Plumbing
DATE OF APPLICATION_(=� SIGNATURE OF APPLICA
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME. DATE
Plan Check
Env. Health
SEPA
-
CL
. Planning
.. .. .. ..
..
• O
Fire Marshall
Mobile Home
"-
Co..Engineer
Other (Specify) ,
Utilities
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TOTAL $ 20—.CIO
Plans Examiner
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEPA Checklist
THIS BECOMES A'PERMIT.
Building Technician
PERMIT IS NONTRANSFERABLE
Dib x,0':9
417 `3. Q cl *.2 0, 0 .0
s�'Cyi2 .
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSUED
PERMIT NO. TOTAL