1982, 03-22 Permit: 82A-2030 DemolitionPLAN NUMBER --* 40F
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 ADDRESS
1. KAT7 LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK UBDI O PARCEL NUMBER/S
2. a.33I
OWNER pm -
ADDRESS
ON
3. �, m -
ADDRESS IP Actual Set Backs in Feet
' t
I f V � ` � d �� North (South (Fact I wn<r
PERMIT NUMBED
02* *1000
* 1 1` 0 0
2029
03-22-82
6,470
CONT R CT
PHONE
Size of Parcel
Zone Classification
4.
ADDRESS
ZIP
Type Godst.
cu
Opancy
Sprinklered
VN
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation fr (f,0
Building Akrea in Sq. Ft.
L✓n
5'
ADDRESS
ZIP
Ma"n Floor I
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPEEW ❑ ALT. ❑ AWN. ❑ RPL. ❑ MVE.
❑,�4
No. Baths
No. Stories
No. Rooms
No. of Dwellings
% OF OTHER
WORK BLD. ElPLMB. EIMECH. ElM.H. 1-1POOL
CERTIFICATE
Req'd.
I Recd.
Not q'd.
of EXEMPTION
DESCRIB';9,WORK
8. D51mo 5 c -*J
0_
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership SE CODE
9.
I UTILOfTIES
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 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
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 REV.ERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
DATE OF APPLICATION 3 -;9ap
a - O �i, SIGNATURE OF APPLICANT P <
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
SEPA
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
ii
TOTAL $ C/
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist
THIS BECOMES A PERMIT.
Tech
PERMIT IS NONTRANSFERABLE
�:Y 2 ��2� Z 0 A U z
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATE ISSIIFn PFRnnIT nln
*.1O.O00-11
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