1982, 10-14 Permit: 82A-9586 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT N'IMBER
SPOKANE COUNTY — bUILOJNG CODES DEPARTMENT SZA -.CI 5
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 1
- �� LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1C-1 2- D2:\ GiC� I-. :..rt
OWNER PHONE v C L j+ C.
3. H I iv,.A c.,+ ek Co/..)5-r. 't 0 ^c 77'"J '3S(b43 -r7 tO * 2 4 6 ç o
ADDRESS ZIPR Actual Set Backs in Feet
S ��a St%,..)w,.%,. .i.> Cig2.-C2 4 North 10 1 'SouthEast IWest 3.& A * C C 0
CONTRACTOR ' PHONE Size of Parcel Zone Classification G L 2 _c.
.�1kw\e, l4`5 1( 1-" C,. -ice--1
4.
ADDRESS ZIP Type`� Const. Occupancy Sprinklered li-0 4- .2
. orh.til/\j� ..]i,lJ Z ❑Yes ❑No ❑ Req'd. 4 7 9
DESIGNER PHONE Val tion Building Area in Sq. Ft.
5.
srAl -8 Q\ .
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. %..k A.,c. — S
TYPENo. Baths No. Stories N000ms No. of Dwellings
/NEW ❑ ALT. ❑ AD'N. 0 RPL. 0 MVE. ^L. 1 I
7. OF 1 ❑ OTHER -
WORK 41BLD. IDPLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Rgq'd.
of EXEMPTION �/
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8• i n.1(44,e Forrvk.....'-! S‘005.\.X. 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES 5 Tk.0 Public ❑Private IV.r
Single $
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 Building 2v-0U
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 construc •' n or the
performance of construction.SEE REVS SE SIDE FOR REQUIRED INSPECTIONS Plumbing
7 .-A.,/... i
DATE OF APPLICATION 1 0 C./ L
(� - SIGNATURE OF APPLICANT / Mech.
SPECIAL APPROVALS SPE/ IAL CONDITIONS: r%
NAME DATE (// Plan Check
E . Health
X , /o/6 SEPA 0
I Hing
CD
G..)
Fire Marshall
Mobile Home �-+
W
x i eer Other (Specify)
.� , poll*
Utili ies
TOTAL $2' `4742
Plans Examiner
No 1" Red"q ON F t-& WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ing clinician/� ,,�,
' PERMIT IS NONTRANSFERABLE 10:-- �4 -8 2 9 5 8. 6 z * 3 4 6.0 0 a PI
`-' C.71 )-70 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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CONTRA CTOR-: • -
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HIMALAYA CONST. CORP
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I , PROPERTY ADDRESS:
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4808 N. Rees Road
. Spokane. WA
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7 0 0 I LEGAL DESCRIPTION:
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HENDRICKSON
SUBDIVISION
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