1982, 06-28 Permit: 82A-5446 ACPLAN 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
4.
ESS/!/j
BLOC`K ISUBD N
7
ADDBfss/ ,3
CON 62:T
DESIGNER
5' ADDRESS
PHONE
C_-LEL:''AL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
Actual Set Backs In Feet
North !South • East
Size of Parcel
Type Const.
Valuation
Occupancy
'West
Zone Classification
Spr in k lered
Oyes Ono O Req'd.
Building Area in Sq. Ft.
ITU
PERMIT NUMBER
gzA - 4 -4 -co
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unf in. Basement
TYPE O NEW
7. OF
WORK O BLD.
O ALT.
❑ PLMB.
LOAD N.
CSM EC H.
O RPL.
❑ M.H.
❑ MVE.
❑ POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DE IB RK
8.
zac,e-'aerlr�aio9cw
Enum. Dist.
Location (Area)
A UATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑Private 0
USE 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 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 REV RSE SIDE FOR REQUIRED INSPECTIONS, 77
-
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
/ifa2
Mobile Home
Other (Specify)
TOTAL $ /"' i" L9
04* •*14.00
*14.006
A .*4.00 S
544.5B
06-2'8-82
'f 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5''446 z
DATE ISSUED - PERMIT NO.
*14.00aF-1
TOTAL
C
L
U.
LL