HomeMy WebLinkAbout1982, 05-04 Permit: 82A-3468 ResidencePLAN NUMBER -
724 G1-
APPLICATION/PERMIT
SPOKANE COUNTY y BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
OWNER
3, f4nt.L' cgJciv
6° ADDRESS I T e J <
CONTRACTO6
ADDRE/SSSS_'
4.
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
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HD Y/
PARCEL NUMBER/S 15 51 — 4701
Actual Set Backs in Fee
0
North (South
East 'West . 1
Size of Parcel
C30
> 14-2
Zone Iassi ication
16
ZIP
Ty7Cpnst.
Occupancy
Sprinklered
Oyes ❑NO 0 Req'd.
DESIGNER
tJ bI177 IV
5. ADORES I - IM
00
SBuilding Area in Sq. Ft.
LO Z
CHANGE O USE FROM
TO
PH28 ONE
3 — 2,j67
ZIP
Valuation
TYPE
7. OF
WORK
BY 0 ALT.
BLD. 0 PLMB.
O AD N.
O MECH.
O RPL.
O M.H.
❑ MVE.
O POOL
0 OTHER
LReq'd.
Arka o Finished hed Basement
�o pecks
No. Ba s •
20
Upper Floors I Garage Area
. Stories
2-
CERTIFICATE
of EXEMPTION
DE CtFFIBB EEiji I�WrOR
Enum. Dist.
Storage
Unn/fiyyn..�BaasQsement
No. Rpoms
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public O Private
USE CODE
I hereby certify that I have read and examined this application and have ead 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 woi-k 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 ] 4 LI ! / 4 ZT
SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
E
Hea6
lanning
5///6
Fire Marshall
Cpr.Xcneine�66r/
Unlit ie
P ns E miner
SEPA Checklist
Tech
SPECIAL CONDITIONS:
��rJT (A c- (G ►to.I.L.-91 Z41,2
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
No. of Dwellings
Reed.(Not eq'd.
FEES COLLECTED
Single $
Building aL
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$so
PERMIT NEMBE
P�2A 4 7
02* *24600
24600
*246006 -
A *Q00 3
277.62 -
`04�14�82
B 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
•
4,
pf5)y;04 '81
p1 3',:4'6.8 z * 2'4 6.0 0 a -
DATE ISSUED '2' PERMIT NO. TOTAL
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