1982, 04-07 Permit: 82A-2564 Residencer77 BER
APPLICATION/ PERMIT
SPOKANE COUNTY — BULDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
V
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB DDRESS
r
Sprinkleted
LEGAL DESCRIPTION — SEE ATTACHED
/�✓
❑Yes ❑No ❑ Req'd.
��'
Valuation
P OTU I
innn
Building Area in Sq. Ft.
LOT-1BLOCK
B I ISI
PARCEL NUMBER/S
MainFloo Upper Floors
2.
Storage
OWNER
&ARri,
v
3.
TYPE
l "b
No. Stories
No. Rooms No. of Dwelling
ADDIj2�
o
ZIP
(2;1
Actual Set Backs in Feet
4=opy
` `�'
,
North South East West
CONTRAQTOEZ
Req'd.
I Recd.
PrAONE
Size of Parcel
Zone Classification
4
(/
DESCRIBKt6E•WORK
Enum. Dist.
ADDRESS ZIP
Ty aorl
Occu nc
Sprinkleted
/�✓
❑Yes ❑No ❑ Req'd.
DESIGNER PHONE
Valuation
P OTU I
innn
Building Area in Sq. Ft.
5.
ADDRESS ZIP
MainFloo Upper Floors
Garage Area
Storage
CHANGE OF USE FROM TO
Area of Decks Finished Basement Unfin. Basement
TYPE
No. Baths
No. Stories
No. Rooms No. of Dwelling
'W W ❑ ❑ AD -N. ❑ RPL. ❑ MVE.
;ALT. OF El OTHER
7,
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Rg,el'd
of EXEMPTION
(/
DESCRIBKt6E•WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8
VALUATTION
SOURCE
G
LEC RIC
WATER
SEWER
Ownership SE CODE
9.
OF14
UTILITIES
Public ❑ Private
Single $
I 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
Mech.
DATE OF APPLICATION J SIGNATURE OF APPLICANT
ealth
NAME DATE ^_ � � 2 19Q (J 2-
l
-8o`t pO1e-00
Planning
Fire Marshall
Co. Engineer
'J_P=Koy�
Plans Examiner/
SEPA Checklist
ing Tec 111- +ate
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT NUMBER
tj4
C0Y.
9--82
4 470
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT,
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0`4 07-'82 2564'Z *40200af-
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