1982, 10-12 Permit: 82A-9411 Residence'PLAN NUMBEP
37
APPLICATION/PERMIT
SPOKANE COUNTY — P U'II-61NG CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT.. COMPLETE _NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
1.
2.
3.
4.
JOB ADDRESS
% c 0‘"N
1 iS25�8 'K0.La AVE.
LEGAL DESCRIPTION - SEE ATTACHED
LOT
BLOCK
Unpla
SUBDIVISION
:ted - Range land Parcel
OWNER
Northwood Prop. (Gunning Builders)
ADDRESS
E. 9616 Montgomery
CONTRACTOR
same
ADDRESS
PHONE
924-7950
PARCEL NUMBER/S AL! „Q„, --c: tOrC...V4aY✓
e3c15'4 - wee
ZI P
99206
PHONE
Actual Set Backs in Feet
North 5[.9 CO, ISouth,F7 1East-2 (West
Size of Parcel
ZI P
Type Const.
DESIGNER
5 Design Alliance
ADDRESS
E. 12504 Main
.:HANGE OF USE FROM
6.
PHONE
928-7096
Occupancy
R-3
Zone Classification
M��-ct - FAvv1 i`•�
Sprinklered
❑Yes ❑No ❑ Req'd.
V uation Building Area in Sq. Ft.
ZIP
99216
.or
Upper Floors 1 Garage Area
I 5
Storage
1-70 StA.0u6
TO
Area of Decks
Finished Basement
Unfin. Basement
TY,E NEW
7, OF
WORK BLD.
❑ ALT.
❑ PLMB.
❑ AD'N.
❑ MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No.goms
No. of Dwellings
1
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8. Single Family Residence,EL
VALUATION
9. 25,000
SOURCE
OF
UTILITIES
GAS
WWP
CTRIC
WWP
Enum. Dist.
Location (Area)
WATER
Irvin W.D
SEWER
N/A
Ownership /USE CODE
Public ❑ Private Nr
I hereby certify that 1 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 9 -c2 -43-8Z- SIGNATURE OF APPLICANT
SPEC: ;.*L APPROVALS
NAME DATE
v. Health •
,,,� j
rrc /v�C7-Peviect)
PILTii
ire MarshIll
ie
Plans Examiner
/CO Oci-e
SEPA Checklist
Ing Technician
SPECIAL CONDITIONS:
FEES COLLECTED
Single $
Building '
Plumbing
Mech.
1 (% Plan Check
tit(��j Ge -m l I/s SEPA
kCjlaPLMobile Home
ok ,4 eARIy nnT At ess Prek/ems; /Xus7 6g ae15.4/Lj,/
Gv i t7rf �+% .3v el4e7+,
/2 -
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Other (Specify)
TOTAL
$ZiC�-Gc)
PERMIT NUMBc- ft
P f r
02* *21600
*216006
A *0,00
861.92
09-23-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1B- 2-82 94112 *216,00° _
DAT I SU PERMIT NO. TOTAL