1982, 10-27 Permit: 82B-0260 ResidencePLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
v APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
�. d � PKN LEGAL DESCRIPTION -SEE ATTACHED
1.LOTBOK BDI I I N PARCEL NUMBER/S
2 o I�M ICA
11
3.
1"
ADDT2`Si �o� ��
CC��
�
ZIP �
Actual Set Backs in Feet
North South 17
East West 30
CONT A
TQR
PHONE
Size of Parcel
Zone C assification
4.
ADDRESS
ZIP
Type ClOnst. I
O p ncy,
Sprinkle ed
'aVF
M
❑Yes ❑No ❑ Req'd.
DES 3NER
PHONE
Valuati n
Building Area in Sq. Ft.
5.
ADDRESS
ZIP
Mppr
Upper Floors
Gar ge Area
A1_
Storage
CHANGE OF USE FROM
TO
Areia� Decks Finished Basement
Unfin. Base ent
6.
r-) C6q1
84
TYPENo.
EW ❑ALT.
❑ AD'N. 1:1 RPL.
❑ MVE.
Baths Wo. Stories
I
No. Rooms
No. of Dwellings
7,
OF
❑ OTHER
I
CERTIFICATE
Req'd.
I Rec'77�
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
of EXEMPTION
8
DESCRIBE WORK
`-�/
Enum. Dist.
Location (Area) FEES COLLECTED
VALUATION SOURCE GAS ELE TRICSEWER
OF �Zr
++,n, Ownership USE CODE
9. UTILITIES !t/ 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 �"%
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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
DATE OF APPLICATION rpt✓ Ill X Z— SIGNATURE nF APPI (CANT 1 �� Mech.
SPECIAL APPROVALS SPIONS:
-at&4 -, - �6 M (� )
/nNAME DATE :Zrr� I Lt (M
jj 410-1
running
Fire Marshall
Co. Engineer
1
Utilities
PI s E,?�sminer
SEPA Checklist
=� ni ian
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT NUMBER
r, * ! r ,
X27 `.00'_
!' * j
i _—%7-32
9,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
���`'27-&2 2 6.0 6 *276.00°j-
NCS s �� F S ALES
C-
ORT}I
110
1`iTild'�
M.T H. C ON S T, 513)3M,cA PARK DRIVE
SPo,INE, WA. 99206
SCALE. //r = /0,
9RkWtJ a MT, NRFF
DATE 8 -ZS-B7-
Locj,r,oKs _
Lo cj,—,)oKs
— 1505
L 10 aZ /'MICA - AiLk A�bDN.
S, rnic����z� Dzlut
PI U��c G2G4922
i�
/off FT �LTEcLrvA��r
��L
�
r ___i
y _N ( P T
/vovGALcy,
t
�
i
i
LOU EVC -T>
5
3 q -0
2Z'
j9 q
i ��
l�o2cd
I
i
J
t
i
jO�NTS
�
�q1.7
� I
i
I_
--OT L 1 N E
_.1
lDf4T V- Da-\Q\E
NCS s �� F S ALES
C-
ORT}I
110
1`iTild'�
M.T H. C ON S T, 513)3M,cA PARK DRIVE
SPo,INE, WA. 99206
SCALE. //r = /0,
9RkWtJ a MT, NRFF
DATE 8 -ZS-B7-
Locj,r,oKs _
Lo cj,—,)oKs
— 1505
L 10 aZ /'MICA - AiLk A�bDN.
S, rnic����z� Dzlut
PI U��c G2G4922