1982, 08-27 Permit: 82A-7582 DeckPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
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 ADRESS
1.
n� LEGAL DESCRIPTION - SEE ATTACHED
zLOT BLOCK SUB V,I51N PARCEL NUMBER/5 /j -7}�„�
OWNE PHONE
3.
ADf:SSI ZIP Actual et Backs in Feet
Q North South East West v
CONTRACTOR $ PHONE Size.of Parcel Zon assification
ADDRESS I ZIP Type Co st. ccu�cy Sprinkle ed
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Mai Fry loor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area f Dec6,s Finishe asemen Unfin. Basement
6. t WCV
TYPE No. aths No. S ories No. R ms No. of Dwellings
❑ N ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
7. OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. Recd775��
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
8 FEES COLLECTED
VALUATION S URCE GAS ELECTRIC WATER EWER Ownership USE CODE
OF [�jyf Public ❑ Private
Q, UTILITIES Ithis
ingle $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions i
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances govern—
type of work will be complied with whether specified herein or not. The granting of a permit does not puilding
to give authority to violate or cancel the provisions of any other state or local law regulating constructionperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONSlumbing
DATE OF APPLICATION7SIGNATURE OF APPLICANT ech.
SPECIAL APPROVALS
NAME DATE
lealth
-� R e<�) 0.
Manning
Fire Marshall
Co. Engineer
ilities
ns Exam
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
02* *2600
758.1 r
08=-27-82
6.4 7'S'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0,8'—"Z;7.- 82 758.22
DATE ISSUED PERMIT NO.
*26,OOa�j -
TOTAL
H I L/Ll V I p "
M�,-rATII�'