1982, 05-25 Permit: 82A-4120 AdditionPLA" 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 � � 1! plc LEGAL DESCRIPTION — SEE ATTACHED
L T I BLOCK S B 510 A,n PARCEL NUMBER/S — O;z
2.
OWNER PHONE
3.'3Q %
AD RE55 tea, ZIP Actuate(Se�Backs in Feet
" � 1L>00� 6 - North w' South East West
CONTYCT H NE Size of Parcel Zo e Classification
PERMIT NUMBER
02* *7`00
*'7` 00
*7`00
A *C 00
41 1.9
05-25-82
4.11f
,--
r&-11
h. 4 7 9
ADDRESS
ZIP
Typedonst.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation 611
Building Area in Sq. Ft.
1
5.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
—
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
�__
TYPE,
TYPED
❑ ❑ El MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
J,,'��CW ALT. AD'N. RPL.
%, OF ❑OTHER
LLLLJJJJ
L BLD. ❑ PLMB. 1-1MECH. ElM.H. ❑POOL
CERTIFICATE
Req'd.
Rec'd.
Not eq'd.
WORK
of EXEMPTION
I
DESCRIBE WORK
10
Enum. Dist,
Location (Area)
FEES COLLECTED
8
VALUATION
SOURCE
GAS
LECTRIC
WATER
SEWER
Ownership 11 SE CODE
9.
OF
UTILITIES
✓�
F�
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 75
_
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 w regulating construction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTAS
Plumbing
DATE OF APPLICATION [� SIGNATURE OF APPLICANT
Mach.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
2Z� !� 2-5--SEPA
P
Planning
Fire Marshall
Mobile Home
Co. Engineer
Other (Specify)
Utilities
TOTAL $
P7Xs Exam i r a,lyi
WHEN MACHINE VALIDATED IN THIS SPACE,
SEP Checklist
THIS BECOMES A PERMIT.
Buil Te icia PERMIT IS NONTRANSFERABLE1-1
Rt i '
5, I §7184 2` 412 0 2
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