1982, 04-19 Permit: 82A-2927 AdditionPLAN NUMBER
512,q G S'
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
8 "SEWER
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC -[--WATER Ownership SEInh
OF Public ❑ Private
9. UTILITIES
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governi
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not p
to give authority to violate or cancel the provisions of any other state or local law regulating construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION - SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE Plan Check
an
o. Lnglneer
Utilities
�r°f/{. -E� & ( ��
"Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ 15,
PERMIT NUMBER
SZ P
Z92.9
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 9'2J z
-8.2
DATE ISSUEDPERMIT NO.
*82r0`0a�-
TOTAL
L-1-11 APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
BLOCK
PARCEL NUMBER/S
2.
(LOT
c/
ISUBDIVISION
v
j85,4%_ Ojob
OWNER
PHONE
Q 2 1
3.
ADDRESS
ZIP
Actual Set Backs in Feet
ZZ
CW'Lf
North South East West Z
CONTRACTOR
PHONE
Size of Parcel
Zone glassification
4'
1. ,
4.
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
V
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF U E FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE NEW
❑ ALT.
AD'N. ❑ RPL.
❑ MVE.
—
1Z_
1
7
OF
OTHER
❑BLD.
❑ PLMB.
❑ MECH. ❑ M.H.
❑POOL
CERTIFICATE
Req'd.
Recd.
Not Req'
WORK
of EXEMPTION
DESCRIBE WORK
Enum Dist Location (Area)
8 "SEWER
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC -[--WATER Ownership SEInh
OF Public ❑ Private
9. UTILITIES
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governi
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not p
to give authority to violate or cancel the provisions of any other state or local law regulating construction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION - SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALSI SPECIAL CONDITIONS:
NAME DATE Plan Check
an
o. Lnglneer
Utilities
�r°f/{. -E� & ( ��
"Plans Examiner
n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $ 15,
PERMIT NUMBER
SZ P
Z92.9
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2 9'2J z
-8.2
DATE ISSUEDPERMIT NO.
*82r0`0a�-
TOTAL
(7— 7
8
0
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