1982, 09-30 Permit: 82A-8930 ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY42 BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON •*' •Pfi11.NE, WASHINGTON 99260 /(509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 -COPIES
JOB ADDRESS
1. G •i8121
LOT
2. 4
OWNER
3.
ADDRESS);
CONTRACTOR
ADDRESS
ya"�•ss�
DESIGNER
BLOCK
4.
5.
Mawkv4C--cc. cT
SUBDIVISION
l�c Lec`S ' //�t
•tZbtntt b N
LEGAL DESCRIPTION — SEE ATTACHED
CO^or-cet..cz tOyv
PHONE
C1 (o — 3/401
PARCEL NUMBER/S
ZIP
X551 41nf f
Actual Set Backs in Feet
North • 'South U.
PHONE
East West
Size of Parcel Zone Classification
1 aQ. G,r .v.iv �t r..GI.E FiAw. w4
ZIP
Type Const.
�PJ
Occupancy
Sprinkleretl
Oyes ONo 0 Req'd.
PHONE
ADDRESS
Valuation Building•Area in Sq. Ft. .
3A r‘tCle3 �tS2
Main Floor
452.•
Upper Floors 1 Garage Area
storage
CHANGE OF USE FROM
6.
TO
Area of Decks
LN
Finished Basement
Unfin. Basement
-7(4
TYPE
7. OF
WORK
1iNEW
dBLD.
•
❑ ALT.
❑ PLMB.
O AD N.
❑ MECH
❑ RPL.
❑ M.H.
❑ MVE.
0 POOL
0 OTHER
No. Baths
No. Stories
NO. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not ced.
DESCRIBE WORK
8'tt r -)G L e .Tt4wt"u-kt t 0:50•3 CC
VALUATION
9.
SOURCE
OF
UTILITIES
GAS
ELECTRIC
Enum. Dist.
Location (Area)
WATER
SEWER
��17i-lC
Ownership
Public 0 Private
SE 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 INSPECT'
DATE OF APPLICATION
SPECIAL APPROVALS
NAME DATE
EnHealth
PI 4R ning
roa
Fire Marshall
Co. t?liglneer
Utilities
Plans Examiner
ON Ctc..c
SEPA Checklist
Building Technician
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED -
Single $
Building .P%4(• -•`Cts
Plumbing
Mech-
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ 24G- ta:1
PERMIT NUMBER- •
Rzn - 1W
02i* *24600
*246906 •
A *Q.0O
8569`2
09-2'2=82 _
:2 6479
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
!ti
0;1vi.,0" 18 21
DATE ISSUED
'i
8i9.3'0 2,
PERMIT NO.
*246.00a�
TOTAL
>-
0 -
UJ UJ
J
U.
\-;
•
t•-• 1/40 \
-5 4. 12
E
2Y
Cpir
=
tr:L.-71 - fr'S I
GQEEi
,(BIZ!
2a11s,sv.1 se_
Io —1—rtir‘t
12/29/98 13:07 $509 324 3603
SP CT -Y HEALTH +-4-, CO BLDG CODES
ascii/on
SPOKANE COUNTY HEALTH DISTRICT
ENVIRONMENTAL HEALTH DIVISION • APP.p 814/85
INSPECTION FOR SEWAGE SYSTEM.AT LC�CO ez'ui ', 2. o „ irI
(Numerical Address or Lot and Block in Plat or Section, Township, and Range/Road) 1C
Please fill out in heavy dark line (felt-tip pen or equal) with a straight edge. Plan
is to include outline of structure (if available) as its position occurs on the property.
Identify by measurement actual location of septic tank, drainfield lines, drywell, or.
other on-site sewage facilities,' property lines closest to drainfield, on-site well
(when applicable), driveway, road frontage. Septic tank access must be referenced to
a known fixed surface structure.
NORTH
FINAL INSPECTION MADE BY
COMMENTS:
(DATE)
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2 --‘7,-.---1-- ••••
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83