1982, 07-23 Permit: 82A-6364 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUIL PING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
PERMIT NUMBER
02 *108,00
*108.006
A *a00 CO)
61 7.02
07-19-82
s 6.479.
� � �C„ ! �j�- Mobile Home
Fire Marshall \\ ff'"' -2-
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zaine,,
7-)`I' WHEN MACHINE VALIDATED IN THIS SPACE,
_PA Checklist THIS BECOMES A PERMIT.
B ch is PERMIT IS NONTRANSFERABLE 0 % "-2.3 '8±2. 6 3 6 4 z *'1 0 8, 0 0/a. F, -
V APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
No. of Dwelling
JOB ADDRESS
'' ii
LEGAL DESCRIPTION — SEE ATTACHED
CERTIFICATE
Req'd.
Recd.
Not d
WORK
of EXEMPTION
I
LOT I BLOCK
UBDI 1 O
y �)
8 0 /�y �fJ Ili O
/1,1
PARCEL NUMBER/S
_
2.
9, 1UTILITIESOIG- Public ❑Private
Single $
_
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
ER
I
o f'N�J U
DATE OF APPLICATION——Zh2 kz-- SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SP CIAL CONDITIONS:
Env ealth NAME DATE A�vrfw " —s 4, �
3.
I �1r)�
SEPA
Planning
ADDRESS
�'�
jq�
���
ZIP
Actual Set Backs in Feet
-
v V
North South
East ,Y? West
CONTCfOR
�� t
VVI
jV� C Y
PHONE`
`P7`Y/J
Si le ofrPaxrclel-ro �
Z qg
Q 7�ssi'ati n
I I)�JIs1'a1
4.
AD EaS Lri'►�`/
� . P
'- 11
LrlaVl
T)qp�
V NI
onst.
O cupancy
�
Sprinklered
[]Yes ❑ No ❑ Req'd.
DESIGNER
PHONE
Valuatipn
Building Area in Sq. Ft.
IY I r
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
I
CHANGE OF USE FROM
TO
Area of a ks
J
Finished Basement
Unfin. Basement
—
6.
PERMIT NUMBER
02 *108,00
*108.006
A *a00 CO)
61 7.02
07-19-82
s 6.479.
� � �C„ ! �j�- Mobile Home
Fire Marshall \\ ff'"' -2-
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zaine,,
7-)`I' WHEN MACHINE VALIDATED IN THIS SPACE,
_PA Checklist THIS BECOMES A PERMIT.
B ch is PERMIT IS NONTRANSFERABLE 0 % "-2.3 '8±2. 6 3 6 4 z *'1 0 8, 0 0/a. F, -
No. baths
. Stories
No. Rooms
No. of Dwelling
TYPE 1-1 NEW 1-1 ALT. AD'N. El RPL. ❑ MVE.
7, OFElOTHER
BLD. ElPLMB. ElMECH. ❑ M. H. ❑POOL
CERTIFICATE
Req'd.
Recd.
Not d
WORK
of EXEMPTION
I
DESCRIBE WORKl
Y� ,
Enum. Dist.
Location (Area)
FEES COLLECTED
8 0 /�y �fJ Ili O
/1,1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9, 1UTILITIESOIG- 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
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——Zh2 kz-- SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SP CIAL CONDITIONS:
Env ealth NAME DATE A�vrfw " —s 4, �
Plan Check
I �1r)�
SEPA
Planning
PERMIT NUMBER
02 *108,00
*108.006
A *a00 CO)
61 7.02
07-19-82
s 6.479.
� � �C„ ! �j�- Mobile Home
Fire Marshall \\ ff'"' -2-
Co. Engineer Other (Specify)
Utilities
TOTAL $
Zaine,,
7-)`I' WHEN MACHINE VALIDATED IN THIS SPACE,
_PA Checklist THIS BECOMES A PERMIT.
B ch is PERMIT IS NONTRANSFERABLE 0 % "-2.3 '8±2. 6 3 6 4 z *'1 0 8, 0 0/a. F, -
/
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