1982, 04-22 Permit: 82A-3110 Rerood, ResidePLAN NUMBER 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
LEGAL DESCRIPTION —SEE ATTACHED
1. F—• \44i1
LOT
BLOCK
PARCEL NUMBER/S
2.24
I
ISUBDIVISION
T �-2tsZ
OWNER
PHONE
3.
ADDRESS
ZIP
Actual Set Backs in Fee)E7 t . 4 A)61
G , 144-ki, L.(>"&%lFCL4-o LAz
aCf 24
North South
East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4' ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
rv��
t,I
�.�
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
40c=)
a®&
5.
ADDRESS
ZIP
Main Floor Upper
Floors
Garage Area
Storage
—
24-4=.-.)
2 Q -G
_—
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPE �/
❑ NEW ❑ ALT. ❑ AD'N. 10 RPL. ❑ MVE.
No. Baths
_
No. Stories
No. Rooms
No. of Dwelling
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H, ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd
WORK
of EXEMPTION
I
V'/
DESCRIBE WORK
Enum. Dist,
Location (Area)
FEES COLLECTED
8. 9,c SI ��S i -
G.4e
VALUATION
I SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
I'`2 4-C10
UTI LOITIES
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 Building 4-7•'c,
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
to give authority to viol a or cancel the provisions of any other state or local law regulating construction or the
performance of construc io
. SEE REVf RSE SIDE FOR REQUIRED INSPECTIONS Plumbing
r',ATC nr ADD] Ir`A-rinPW
� t 12.111 All IOC r\C ADD. 1!`AAIT
///)
V/ Z3 Z`--' Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plla``n__--s Examiner
SEPA Checklist
ECIAL CONDITIONS: 'TO
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ +-?-Cp,
PERMIT NUMBER
2A ^ 3110
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Y
ing Te nician n PERMIT IS NONTRANSFERABLE �'�'�4 "2'_L�" "8�2� 3 1 1, Q z 4 * % d F
CL
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