1982, 04-28 Permit: 82A-3270 ShopPLAN NUMBER G • ill -
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. ia.1b3110 ;x)a2A
LEGAL DESCRIPTION - SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
3.
Oy�y)N�CER
'
VNN1,S 2. Mata
PHONE
61243-142D
PARCEL NUMBER'S atfjt of. N. i1A•2-61 df -rept.
312 DPioframN &e. Iv i$' `• et w.t-i
08544•x/04
ADDRESS
E 1031c0 tA)Dew6k CI D-456,
ZIP
Actual Set Backs in Feet
North (South ell
East West 11
4.
CONTRACTOR
UTAYNE. Ls WE-n/3g2
PHONE
a z� •��s�3
Size of Parcel
"7(0c tS'5
Zone Classification
qC% • Siai3ctZAN
ADDRESS
E. 14021
4111
ZIP
Type Const.
Occupancy
tri -1
Sprinklered
'I]Ves ❑No 0 Req'd.
5.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
1123
ADDRESS
ZIP
Main Floor
Upper Floors Garage Area
112.5
Storage
6.
7.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
OF
WORK
IViaew
L�i/BLD.
❑ ALT. ❑ AD N. 0 RPL. 0 MVE.
❑ PLMB. . 0 MECH. 0 M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
DESCRIBE WORK
8. �' W? BI.ULOtAii_n WJSLAi3 (')..5X45)
Enum. Dist.
Location (Area)
VALUATION
9.4;i60
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
SEPT
Ownership di USE CODE
Public 0 Private
I hereby certify that I have read and examined this applicationand 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 INSPECTION
DATE OF APPLICATIONY 7 — Z G - q2—
SIGNATURE OF APPLICANtX t), .7-tn4 / 7/l. ode
SPECIAL APPROVALS
NAME DATE
En
Plan
Fire Marshall
Co. Engineer
Utilities
ambler
eckhs'
SPECIAL CONDITIONS:
n
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building * S
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ '?5-00
PERMII•NUMBER
82A- 3270
02.* *7500
*7500 1
*75006
A *0.00
32692
04-28-82
2 6479.
WHENMACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
t
0�'41;j�2 &!?!812:
DATE' ISSUEb
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