1982, 06-08 Permit: 82A-4706 AdditionPLAN 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
1. CJS zri� 000
LEGAL DESCRIPTION — SEE ATTACHED
LOTB
�-
K
i
SUB I ON
� �
PARCEL NUMBER/S
-� �d - ::!- Boz
2.
Types C nst.
a O
Sprinklered
OWNER r
I C+W, L� L
PHONE
i� --
3.
V
�/
ADDRESS �f /7
U '�
Z P /
Actual Set Backs in Fee
.�t7
!/ �L -
'l tee='
North South v�,i East West
C TRACTOR
C E>
o
Ma,
ONE
�'
Size of Parcel
o O ,, I z-6,
Zone Classification
IS k ,
4.
A ESS
4.
Types C nst.
ccup�ancy
Sprinklered
G°
V
�/
❑Yes []No ❑ Req'd.
DESIGNER
5.
PHONE
Valuation
Floor
Building Area in Sq. Ft.
ADDRESS
ZIP
Ma,
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Ar a of Decks
tt
Finished Basemen
Unfin. Basement
6.
TYPE ❑ N W ❑ALT. AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellin
7, OF 1:1 OTHER
CERTIFICATE
Req'd.
Recd.
LLLL����
IBD. ❑ PLMB. ❑ MECH. ❑ M.H. POOL
WORK
of EXEMPTION 1
jNot,1*64;
t
DESCRIBE WORK
-17 IsV�'��
N
I
Enum. Dist,
Location (Area)
FEES COLLECTED
8. k
VA UATV-)N SOURCE GAS ELECTRIC WATER SEWER
Ownership USE CODE
9. UTILOITIES , 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 1 Plumbing
DATE OF APPLICATION - SIGNATURE OF APPLICANT >' Mech.
gar clilMc I1rrIlV VALJ ar GVINL LIU1V1.J111vi
NAME DATE
anning
ire Marshall
o. nglneer I
!o
tilities
mine
ec list
ni PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $_
PERN'IT Nl -V-9ER
L.0 0
* 1 0 2 0 0 X
A *0,,00,
0 -1 3 - 8 L2
.7 J L.
T 6.479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
,a
'0 S 1,'08+-'8'2g 4'70,65 *102I00aF
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