1982, 08-09 Permit: 82A-6894 SidingPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT ?�
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK BDI IS ON PARCEL NUMBER/SIXT
!3
2. --VC'c�gy-eA)Al'r
O ER PHONE
3. s•
ADDRESS ZIP Actual
/ Actual Set Backs in Feet
S LO 1-/��b North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
IJ 9a 9b
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
/V 1 310 y)meGad
q q.2-06
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
Baths
No. Stories
No. Rooms
No. of Dwellings
TYPENo.
❑ NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7_ OFOTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Req'd.
WORK
of EXEMPTION
I
JNot
DES IBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8
V-1ALLUATION
SOURCEOF
AS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. /0 -
UTILITIES
1
Public ❑ Private ❑
00
—
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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
r)ATF r1F APPI ICATIr1N G A /[J 2-- glrNIATI IRF f1F APPI (CANT �/
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
r�
Fire Marshall
1
Co. Engineer
Utilities
Plans Examiner
S
B ec ni ,p PERMIT IS NONTRANSFERABL
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
02* *47.00
*47.00
A *0.00 00
689.32
08-09-82
z 6.479.
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
689.42. 47,00ar -
DATE ISSUED PERMIT NO. TOTAL