HomeMy WebLinkAbout1982, 09-16 Permit: 82A-8290 Residence�a 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 N.
1 Lvn�C LEGAL DESCRIPTION — SEE ATTACHED
LO K B PARCEL NUMBER/S
2. ti�2
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. �� nx,t-.E R "�-C�_ ��S(.t>ENGa7
VALUATION I SOURCE GAS ELECTRICI WATER I �SEW;EARO%vnership SE CODE
9. UTILOITublic El Private er
Single $
1 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
Building
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 EE REVERSE SIDE FOR REQUIRED INSPEC`TIIOO h Plumbing
r)ATF nG ADDI Ir'ATInA1 ZD eSEJ clnni A-ri ioc nc ADoi Ir Ani� Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Fire Marshall
Co.gineer
Utilities
Plans Examiner
S = C.—# .'Ar j
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
YtKMft- rvUf�y',�K
Uc* *252.00
*252U0�Y
A * C. n
0i,5
0q -09-g2
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'6
f.
° `' ' 4_82 829'°z z25Z4PD-
DATE ISSUED PERMIT NO.
C
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I.
OWNER
PHONE
3.
1J0t-
i�IS• ��Tc
- 1 1
ADDRESS
ZIP
Actual Set Backs in Feet
G • ok� 1
P/yr�
CROC14-Dr.
North + South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
S % �G
4.
ADDRESS
ZIP
Typie C nst.
Occupancy
Sprinklered
..�A(V�
�p 3 1
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valpation
Building Area in Sq. Ft.
5.
G4 -c)
ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
(mac,
1
54,6
TYPE(
❑ ALT. ❑ AD'N. ❑ RPL.
❑ MVE.
No. Baths
No.IStories
No._f2ooms
No. of Dwellings
7,
OF JNEW
11 OTHER
CERTIFICATE
Req'd.
Recd.
Not/Req'd.
WORK �/ BLD.
I� PLMB. ❑ MECH. ❑ M.H.
❑ POOL
of EXEMPTION
V
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. �� nx,t-.E R "�-C�_ ��S(.t>ENGa7
VALUATION I SOURCE GAS ELECTRICI WATER I �SEW;EARO%vnership SE CODE
9. UTILOITublic El Private er
Single $
1 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
Building
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 EE REVERSE SIDE FOR REQUIRED INSPEC`TIIOO h Plumbing
r)ATF nG ADDI Ir'ATInA1 ZD eSEJ clnni A-ri ioc nc ADoi Ir Ani� Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE
Fire Marshall
Co.gineer
Utilities
Plans Examiner
S = C.—# .'Ar j
SEPA Checklist
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
YtKMft- rvUf�y',�K
Uc* *252.00
*252U0�Y
A * C. n
0i,5
0q -09-g2
6.479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
'6
f.
° `' ' 4_82 829'°z z25Z4PD-
DATE ISSUED PERMIT NO.
C
c
c
I.
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t ��.7 IF
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