1982, 07-22 Permit: 82A-6307 ResidencePLAN NUMBER . --1
APPLICATION/PERMIT
SPOKANE COUNTY` - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1:
' JOB ADDRESS
1. /(/ L// 0
LOT I BLOCK
2.771_ G -
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 -COPIES
3
OWNE
E ��07Vo£2 orW 77E/ i/4_
SUBOIVI ION 600hI'
°- TV-ovL p/N OF UAJPlnnTn 'Pr OP !or gig
•
Sm/77/
PHONE
90? 4'- 4l
LEGAL DESCRIPTION - SEE ATTACHED
PARCEL NUMBER/S
0 VV92 - 90743
A DDR ES5
4.
5.
- -o 4ox /V0d7
CONTRACTOR
a>.4_ Ascac
ADDRESS
4D- /SO K /Vbcf
DESIGNER
ZIP
9y.2. y
PHONE
701V -694'V
P
may/ y
PHONE
Actual Set Backs in Feet
I
North.40 / ISouth /6O East
(West a•
Size of Parcel Zone Classification
//,0AG/. 26o Avi, AGla •c-A-1Lxwc
Ty t.
artaL
Occupancy Sprinklered
g-t.)n1-I Oyes DNo 0 Req'd.
Va ation a/,
Building Area in Sq. Ft.
2120
ADDRESS
ZIP
Main Floor
HOG
Up er FI ors Garage Area
CHANGE OF USE FROM
6.
TO
Area of Decks
a�-
Finished Basement
Storage
—0—
Unf in. Basement
/goo
7.
TYPE
OF
WORK
lkf NEW
BLD.
O ALT. 0 AD N. ❑ RPL.
O PLMB. 0 MECH. 0 M.H.
O MVE.'
O POOL
0 OTHER
No. Baths
2,dr
No. Stories
2
No. Rooms
6
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not RgQ d.
DESCRIBE WORK
8-S/v6Lc 6 icy /1Ls/oc,ccc Lv>3 ea / t a#11140VALUATION SOUCE
�(
O
e UTILITIES
GAS
E CTRIC
Airr0-2f
WATER
Enum. Dist.
Location (Area)
SEWER
g5 -tent_
Ownership USE CODE
Public O Private
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
U C r 2—SIGNATURE OF APPLICANT.
SPECIAL APPROVALS SPECIAL CONDITIONS: .
NAME DATE
En ea tn'
/13Pammn7/22,'
Fire Marshall
b Co.-t-inepr 'c'i
U 'I1ttJes (�V-
Plans Examiner
Kew ft -eo 4/E
SEPA Checklist
Building Technician
w
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $ ,,tt
Building ` 4L&'c0
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL - $'Tlel*-627.
say
PERMIT NUMBER
:t'a, a 307
02* *41800
*41aoo
A ;0.00 S
62282
'07.20-82
g 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
07-Z12a8;2'
DATE ISSUED
6,3 0,7.54110 ('e
PERMIT NO. • TOTAL
97s 77= •
ow: go
jj Li/ fJ f &&Lx) tA'O!$
D2
T2sc.r C •oe $, P,: 1.y-ovs. Qtun, 2
Po QnaRJ 6F uAL tAzrLP Pay or t ov'z -re i