1982, 09-30 Permit: 82A-8917 ResidencePLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY 1'- 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 t.t44o N%x� A�u LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK ISUBDIVISION PARCEL NUMBER/S
2. ` le S�;,7 -AIA--TE>— %-%
OWNER PHONE
3. G`� c a� �ti � Ct 1454=5 ci -L-:;lL b
ADDRESS
ZIP
Actual Set Backs in Feet
tN � os 0
r{ q
North South 25i East West ktt '
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
-!5-Ar.-C
04 `J A";'rprzolc
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered+
S'
-P-NM-j
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation �2
Building Area Ft.
-Main
lSq.
5.
5.
ADDRESS
ZIP
F}�q�� Upper FI rs
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwellings
LrJ NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OTHER
Req'd.
Recd.
Not�q'd.
WORK D BLD. ElPLMB. 1:1MECH. 1:1M.H. 1-1POOLOTHER
of EXEMPTION
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
8. S�+.x,.c.E Tr=ww.�+r.•f r?Fsr.aGL� Gaa.AC,s�- 1crAC
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USEIth
9.
I UTILOITIES7(�L
Public ❑Private
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions in
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governiBuilding00
type of work will be complied with whether specified herein or not. The granting
of a permit does not pto
give authority to violate or cancel the provisions of any other state or local law
regulating constr ction
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI
S
Plumbing
DATE OF APPLICATION//�Ag:= SIGNATURE OF APPLICANT
L
Mech.
SPECIAL APPROVALS
NAME DATE
1,v.j1ea11h
Plann g
Fire Marshall
Co. Engineer
Utilities
PI s/yExarn er
CONDITIONS:
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $�
PERMIT NUMBER
Zak — aq t—]
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
din echnic PERMIT IS NONTRANSFERABLE 04i9,!� ! 8 2 $ 91, 7 z * 2 3 4 0 a -J
� �
' `—/ Itl p M -y v
Lot 'e ./
PL A- r -'�'7?-O 77 1�
IrI' .4_wY -----�yfrs"4
INC.
N. 1506 FIVES RD.
�..SPOKANE, WA 9gZW
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