1982, 06-02 Permit: 82A-4439 ACPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�J /J�//�
' LOT BLOCK SUBDIVISION :: � �
c
2.
LEGAL DESCRIPTION — SEE ATTACHED
3.
OWNER
ADD
/DO 7 erg
C'J TRACTOR
PJRIONE
zip
PARCEL NUMBER/S
Actual Set Backs in Feet
North (South
East
(west
PHONE�•yfa.7A
4//5—/i 7
Size of Parcel
Zone Classification
ADI S z . 37o 7
$
Type Const.
Occupancy
Sprinklered
Dyes ONo 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area i Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper. Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
O NEW
O BLD.
O ALT. 0 AD N. 0 RPL. 0 MVE.
O PLMB. '"V AECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd- •
Not Req'd.
DESCRIBE ry1/YORK
GAS
VALUATION
9.
SOURCE
OF
UTILITIES
E 2TRIC
Enum. Dist.
Location (Area)
WATER
SEWER
Ownership
Public 0 Private 0
USE CODE
I hereby certify that I have read and examined this application and have r
do reverse side, and know the same to be true and correct. All provision
type of work will be complied with whether specified herein or not. The
to give authority to violate or cancel the provisions of any other state or
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSP
DATE OF APPLICATION
SPECIAL APPROVALS •
NAME DATE
Env. Health
anning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
B
hnici
4 -
SIGNATURE OF APP
SPECIAL CONDITIONS:
d86roo t7`Lc -
the "NOTICE" provisions included
of laws and ordinances governing this
granting of a permit does not presume
o al law regula ' construction or the
TIONS T7
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
in/
PERMIT NUMBER
32 -4137
04* *1400
* 1400 5
* 14006
A *0.00
4438x.
06-02-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
'THIS BECOMES A PERMIT.
10;'64(:012'=1P2 41''4 9Z *1.4. 0.2.°
DATE ISSUED PERMIT NO. TOT41: