1982, 08-20 Permit: 82A-7291AdditionPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH B11 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 5 DID 14Ncr 1Z0LEGAL DESCRIPTION — SEE ATTACHED
LOT
BLOCK SUBDI ISION PARCEL NUMBER/S. - 1'1552 -0-3/3
OWNER
PHONE
Valua;V" n
3 M131, W. W, F15c;14E
-2-1541
ADDRESS
ZIP
Actual Set Backs in Feet
I ,,
:51 21 o LoNCT "
digorr
17J
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
Area of Decks
Finished
Basement
Unfin. Basement
4. ADDRESS
ZIP
Type Const. Occupancy
Sprinklered
—
V -N I M I
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valua;V" n
Building Area in Sq. Ft.
5.
672,
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unfin. Basement
6.—
—
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE ❑ NEW ❑ ALT. C� AD'N. ❑ RPL. ❑ MVE.
�---
-�—
�--
7. OF� ❑ ❑ OTHER
�7,�`-
`9 D. PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
WORK
of EXEMPTION
I
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8• AVD W—o PAiiD COV -120� S
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑ Private ❑
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
O°
Building /Zo��_
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
Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT �'
Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
Building Technician
SPECIAL CONDITIONS:
-5-rAgTu)�
Ap {atAT PeRMt'7 6rFf- WAW-1)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMI i NUMBER
Yz8 - 7z
0O
* L 0 -. W, Y
7c ,C
j—G0—n2
6479.
TOTAL $&—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 :8 9 2 7 2 9.1 Z
DATE ISSUED PERMIT NO.
*20.00a-1 -j -
TOTAL