1982, 11-15 Permit: 82B-952 ResidencePLAN NUMBER
JOB ADDRESS
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
221 1AoEN Atm E.
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.4-
BLOCK
-at
SUBDIVISION
Mh-7Enf te—T Aoo. to 6accNF+CIPLc'
OWNER
3 -172. Pt .l Sct. o•¢ �° , w N s
ADDRESS
S. 2-1ID-7 a y
PHONE
5S01 -23Z€4 -
PARCEL NUMBER/S
14551-I5o4-
ZIP
gi4zC-73
Actual Set Backs In Feet
North tf° .18 (South 124 East
(West 25
4.
CONTRACTOR
&LEN k.ATIt Coc.f-LNs
ADDRESS
.. ZL OT W_qy
PHONE
534 -Z3av-
Size of Parcel
ea.t&c 120'
Zone Classification
R -1
ZIP
glgzo3
Ty Const.
N
Occupancy.
1Z-444-4
Sprinklered
❑Yes DNo 0 Req'd.
DESIf.NER
5. ADDRESS
PHONE
ZIP
VIViation
34 oss
Main Fldor
ig
Building Area in Sq. Ft.
134
Upper Floors Garage Area
516
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
So La.rC
Finished Basement
Unfin. Basement
(.0 .% I
TYPE
7. OF
WORK
BBLD.
LD.
O ALT. 0 AD N. 0 RPL.
O PLMB. 0 MECH. 0 M.H.
O MVE.
D POOL
0 OTHER
No. Baths
2 -
No. Stories
1
No. Rooms
4
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not R erd.
DESCRIBE WORK �
8. �' +tiGtE ti'/ArnLc4 -RES "ace" Cl At AGE r"t/�afCL4CQ
Enum. Dist.
Location (Area)
VALUATION
9.
SOURCE
OF
UTILITIES
GAS 1 ELECTRIC
WATER
SEWER
5Q`?t'tC
Ownership
Public D Private 121/
USE 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 INSPECTIONS
DATE OF APPLICATION // - .. SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Planning
Fire Marshall
•
�el
•
Ira
Plans
xa%'ner
SEPA Checklls
Building Technician
' le
Id
COGC.i 14g. 2$ibi'ti 't/f�]£�5
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single
$
Building z`rTo•
Plumbing .
Mech.
Plan Check
SEPA
Mobile Home •
Other (Specify)
TOTAL $ e`Tb
PERMIT NUMBER
02-3 - 95-2-
02* *24.600
*24.6006
A *'000
84.9
111-10-82
647'9
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1O1,F-- 82
95:.25' *246.00,U
DATE ISSUED , PERMIT NO. TOTAL
0-
0
LLI
W
'Ape
8,-K/67
Ln
r -
r'
-5, _2 a AI DE tY
2o7 171 OC 24-
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•
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