1982, 09-27 Permit: 82A-8725 SidingPLAN NUMBER
(i
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.. 4. -ai Locust -
LOT LOC SUBDIVISION
2.
OWNER
A. . Sr!we inl=2
3.
` LSGAL DESCRIPTION - SEE ATTACHED
PHONE
Rail — �93a
PARCEL NUMBER/S
/75:1€5 ' /2/C
ADDRESS
N. aai Locus -r
P
ZI
9 9aelez
Actual Set Backs in Feet
North 'South [East (West
4.
CIONTRACTOR
c1IAY Bkoni-ERS 6»Jr; MC •
PHONE
Size of Parcel 1 Zone Classification
ADDRESS /� /�
0. 31ojn 4-fGol3NE £ AN
ZIP
•
Type Const.
Occupancy Sprinklered
Oyes 0No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
3 720
I Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 1 Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfit). Basement
TYPE 0 NEW
7. OF
WORK 0 BLD.
0 ALT. 0 AD N. 0 RPL. 0 MVE.
0 PLMB. 0 MECH. 0 M.H. 0 POOL
•
QQ OT HER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WOR
Srs&i SONG
Enum. Dist.
Location (Area)
VALUATION
9. 372.0 Deo
SOURCE GAS
OF
UTILITIES
ELECTRIC
WATER
SEWER
Ownership
Public 0 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 REVERSE SIDE FOR REQUIRED INSPECTIONS
DATE OF APPLICATION ! P-3je 2 SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Healt
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ng Tehnc IG Ian
. 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
4. -.)/,5
02* *540,0
*54006
A *000
8724RI
09-27-82
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0Y j27�',=(8?2' 8.7.2:5 E' *5400 0) -
DATE ISSUED PERMIT NO. TOTAL