1982, 04-05 Permit: 82A-2499 DeckPLAN NUMBErj
APPLICATION/PERMIT
SPOKANE COUNTY — Be1LDI1 G CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
JOB ,}.DD 331 o rj{/C:3i / "r(�1
1. Ur
LOT BLOCK SUBDIVISION
2.
3.
OWN
ADD
LEGAL DESCRIPTION - SEE ATTACHED
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ESS
D V 1ce0K-r01.1
CON�R,AC[ AR MV ic�}
4. ADDR//E1lfiSSS„.III[VVA�/1 W��
s� R 1/o� 17 11' Gt
DE IGNE•
5.
Aloqj
9; 35g:4
PARCEL NUMBER/S t'‘,„ I ' / 3 - �y1�
ZIP
Actual Set Backs in Feet
North 15
2.2-31o1
outh I East 'West
a assif icatlon
f4 �C-
Cl
�
Sprinklered
❑Yes DNo 0 Req'd.
Building Area in Sq. Ft.
Upper Floors Garage Area
9Storage
Size of Peel Zo
�>
TvPi Cpnst.
PHtiENE
Valuation
*14j'�/
0
ADDRESS
ZIP
Main Floor
Occupancy
14-3
CHANGE OF USE FROM
6.
TO
Area of Decks
4.08
Finished Basement
Unfln. Basement
TYPE
7. OF
WORK
0 NEW
/BUD.
O ALT. DIAD N. 0 RPL. 0 MVE.
❑ PLMB. 0 MECH.' 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
NOt Redd.
DESCRIBE WORK
8. t Aoc vflo NI Lilco 4t
VALUATION SOURCE GAS ELECTRIC WATE
OF
9. UTILITIES
Enum. Dist.
Location (Area)
SEWER
1C-•
Ownership
Public 0 Private
/SE CODE
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 constructio a'fl he
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SIGNATURE OF APPLICANT
DATE OF APPLICATION 4
SPECIAL APPROVALS
NAME DATE
a ning
Fire Mar
hall
Co. Engineer
Utilities
Plan
S •Checklist
SPECIA4 CON 1(Or y.2.43 - O' to is 9 2.3„:" 0\1)
kiwis Rk,-rttRNii'
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$
PERMIT f.U� MBER"
Ft A- z'-1-97
02*
* 2000
* 2000
249.8
-047.05.-82
4 6479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,41}ti4181,
DATE ISSUED
2.4'9,9
PERMIT NO. TOT"
1
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