1982, 04-05 Permit: 82A-2505 AdditionPLAN NUMBER
APPLIQION/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. E. 11003 LE b)b Eck
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2./s
BLOCK
/2 -
3
OWNER
atOq 1IANtiEn)T3c
SUBDIVISION s i5
05�y //AC&A-CA
r.1W--).
PHONE
Ct2g ^3481
PARCEL NUMBER/S
�"?elle/ —/ass
ADDRESS
E. I2ay , L&(UoQ»
ZIP
4Groc.
Actual Setj(lacks In Feet
��
North 5 (South
I
East lS (West
4.
5.
CONTRACTOR
efarilAC
PHONE
Size of Parcel
tOo 1c \So -
Zone Classification
AC SuLA 12BA-ra
ADDRESS
G i4mE
DESIGNER
ZIP
Type Const.
Occupancy
All —I
Sprinklered
Oyes ONo. 0 Req'd.
PHONE
Valu
on
542—
Building Area in2 Sq. Ft.
43
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage .
432 -
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
8�7,/NEW 0 ALT.
LN BLD. 0 PLMB.
dAD N.
0 MECH.
O RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of gwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Notrd.
DES RISE WORK
8. PIODITIDAI of eta t'LgG.E Root*.
�a.VALUATION
s ,5542
SOURCE
OF
UTILITIES
GAS
ELECTRIC
W
CIS 4.2(t)(./..04;13
WATER
SEWER
SE7iIG
Enum. Dist.
Location (Area)
Ownership USE CODE
Public 0 Private licEd
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 ornot. The granting of a permit does not presume
to give authority to violate or cancel the provisions of any other state or local law re Ing construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS'
DATE OF APPLICATION W /3 SIGNATURE OF APPLICAN
SPECIAL APPROVALS
NAME DATE
Env. Healt
Planning
Fire Marshall
GID
8z
Oq. EngInneeer
1/4
Utilities
Plans Examine
SEPA Checklist
Buildin• echnician
SPECIAL CONDITIONS: JJ�..��
fit% t31669 Thr +ft .5141441:1k&
l,LF /'TCYiC/'IFD
Sue..)EC-c -Co bs.s rE IniJtt.TirnU
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 $
PERMITNUMBEa
Sala - 2SOS
0.2* *3800
*3800 to
*38006
A *000 8
2504'
‘04-05.;1-82
2 6"4.7 S
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'
IDilB. iso- 5.7.8i21.
DATE ISSUED
21'5Q5Z *3I 8,0r0ar-j -
PERMIT NO. TOTAL
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711
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