1982, 02-22 Permit: 82A-1198 BarnPLAN 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
1.
2.
3.
JOB ADDRESS
may°
M�
LOT BLOCK SU D ISI
�L' D• N icbo1-floiA
LEGAL DESCRIPTION - SEE ATTACHED
OWNER
ADDRESS
1322 MAMA ckti.
CONTgq GTgf�
4.
PHONE ,
�a6-5417
1,7—*
PARCEL NUMBER/S IV.rfl_ 07l 2--
N1.1 ool or , I/ or FbcciiA 101
Set Backs In Feet
North 1� 1
South
East I�O 'West
PHONE
Size of Parcel
too
Zone Classification
ADDRESS
ZIP
Type Const.
OCLlj
rI pancy
Sprinklered
Oyes 0No 0 Req'd.
5.
DESIGNER
PHONE
Valuatipn
Building Flea in $q. Ft.
ADDRESS
ZIP
Main Floor
Upper Floors 11 Garage Area
So rgge
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7, OF
WORK
Lg W 0 ALT.
Trel D. 0 PLMB.
O AO N.
O MECH.
❑ RPL.
O M.H.
O MVE.
O POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not ed.
DESC, RIBS Y‘ipRI( )
GAS
VALUAT ON SdURCE
OF
9. UTILITIES
Enum. Dist.
Location (Ar a)
ELECTRIC
WATER
SEWER
Ownership
Public 0 Private
USE CODE
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
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
DATE OF APPLICATION nG _ 2 -9'2 - SIGNATURE OF APPLIC
E
SPECIAL APPROVALS
NAME DATE
Fire Marshall
Co. Engineer
SPECIAL CONDITIONS:
r" r&fdcn167
57G 4r- Isi/r5uM3
Z/22 /$7/
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Horne
Other (Specify)
TOTAL $
PERMITy ER 1 1 5
02* *61.00
*6t00
*61.006
A *000 3
11a1�
0'2-22a-82
2 61179
7
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
61 lc1 1
DATE ISSUED PERMIT NO
111'9,8 z.
61-.0 0,21-2. —
TOTAL
0-
0
0