1982, 07-12 Permit: 82A-5872 Residence(PLAN NUMBER .•
6—/L
APPLICATION/PERMIT
'SPOKANE COUNTY -,BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SP'f.Kr?.. VASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES
JOB JS DO R
1.
h2'003
LOT V//
2. ••3
l(�
3
4.
BLOCK
2-
1 -1 a -r Avs
LEGAL DESCRIPTION — SEE ATTACHED
SUBD
OWNER
i j1
IDJJRE95Cic O IO
CO5NTRACTOR I`J6F
VISION
ZIP
c22 -t5
HONE
PARCEL NUMBER/S
o13O�j
Actual Set Backs in Feet
North 'South P7AI
o lEast 4:�j 'West �I
ADDRESS
DESIGNER
5. ADDRESS
ZIP
PHONE
Size of Par el
'Soni
Typeat.
Zone Classification
Valuation
Sprinklered
Oyes UNo 0 Req'd.
Building Area in Sq. Ft.
ZIP '
CHANGE OF USE FROM
TO
TYPE fN4EW
7. OF /Y
WORK li BLD.
0 ALT.
0 PLMB
O AD N.
❑ MECH.
O RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
Main Floor
IBetef,Decks -
No. .Baths
tipper Flogrs Garage Area
IY/'j'ITI' Coe O
Finished Basement
Storage
U�i� Basement •
• Ncgtories
N1o. Rooms
5
No. o1. Dwellings
CERTIFICATE
of EXEMPTION
Req'0.
Reed.
Not Rfld.
DE
8.
VALUATION
9.
CRIBE WORK
1
W4�
Enum. Dist. I Location (Area)
SOURCE
OF
UTILITIES
G
LECTRIC
WATER
SEWER
Ownership `/
Public 0 Private Id
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 REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION
Env/
arming
Fire Marshall
Co. Engineer
a t2
SPECIAL APPROVALS
NAME DATE
Utilities
Plans Examiner
ke
SEPA Checkhs'
�•Taal
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
Mobile Home -
Other (Specify)
TOTAL .$
PERMIT NUMBER
8za- 5872•
02* *469.00
*469.00 '6
*'469.006
A *000 3
587:1R
b'7-.12'-82
2 6479.
WHEN
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMESA PERMIT.
DATE SSUT'II'� 1121 PERMI
�'2z,*14.,69DQfa_.
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0_ d
O
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La -
SJ . Oda 2ta W.
295.00
15'
iYP�N F'F1D 10
1J. oo'oi'ZCW.
295.00'
PLOT PLAN)
.Yn
4
2
CCIGc aLaTiE MITCHELL
PLo-r PLS ;,J