1982, 04-27 Permit: 82A-3212 Relocated 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
V
A_ �
�v o y
CHANGE OF USE FROM
LEGAL DESCRIPTION - SEE ATTACHED
Ir0 'BLOCK
Finished Basem nt
SUSID ION
6.
PARCEL NUMBER/S
`
2.
�
No. Stories
OWN R
�
0% -6
TYPE N W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
PHONE
3.
7, OF ❑ OTHER
CERTIFICATE
Req'd.
AD&5'S+
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
WORK
Actual Set Backs in Fee
oo
DE CRIBE WORK
num. Dist, Location (Area)
i
North Sout East West
CO
PHONEISize
of Parcel
Zo a Classification
--?I-K
120
A�
,
4' ADDRESS
ZIP
TY e Const.
Occ pa
cy
Sprinklered
�
I
❑Yes ❑No ElReq'd.
PERMI i UMBER
DESIGNER PHONE Valuation., Buildin Area in Sq. Ft.
5. c�%(" 1
ADDRESS ZIP Main Floor Upper Floors G rage Area Storage _
8. tr/ L -! W FEES COLLECTED
VALUATION SOURCE G EL CTRIC1,,WATER SEW R Ownership USE CODE
9. 1UTILITIEOFS
a Public El Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included c�0
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
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 Plumbing
noTF nF PPI lr o rinnl //.� "� SIGNATURE OF APPLICANT _.,F -►'n -,- .�t-c,.' Mech.
SPECIAL APPROVALS
NAME DATE
lealth
ng
arshall
i meer %%
tilities
ans E}
A-�
SPECIAL CONDITIONS:
1r1P� 1!�' rT�.,.v 11 I= 1 i i i
of N iLo`v, rocvol�-ii'
0(211
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other��(Spec4y)too Ud
x®®�ut
TOTAL $
PC
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04-27 '82 3'21,21 *189.00x-
V
CHANGE OF USE FROM
TO
Area of Decks
Finished Basem nt
Unfin. Basement
6.
No. Baths
No. Stories
No. Rooms
o. of Dwellings
TYPE N W ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
I
7, OF ❑ OTHER
CERTIFICATE
Req'd.
Rec7p,��
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
WORK
of EXEMPTION
DE CRIBE WORK
num. Dist, Location (Area)
8. tr/ L -! W FEES COLLECTED
VALUATION SOURCE G EL CTRIC1,,WATER SEW R Ownership USE CODE
9. 1UTILITIEOFS
a Public El Private Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included c�0
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building
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 Plumbing
noTF nF PPI lr o rinnl //.� "� SIGNATURE OF APPLICANT _.,F -►'n -,- .�t-c,.' Mech.
SPECIAL APPROVALS
NAME DATE
lealth
ng
arshall
i meer %%
tilities
ans E}
A-�
SPECIAL CONDITIONS:
1r1P� 1!�' rT�.,.v 11 I= 1 i i i
of N iLo`v, rocvol�-ii'
0(211
PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other��(Spec4y)too Ud
x®®�ut
TOTAL $
PC
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
04-27 '82 3'21,21 *189.00x-
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