1982, 07-14 Permit: 82A-6019 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NU'. 9ER
-
F /9 /7/
SPOKANE COUNTY #BUILibING CODES DEPARTMENT � �A- - _,20h7
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
....
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS �l ``I;) LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 0 2 * * 3 1 6,0 0
2.1 seh 1 `•4-\ENr�7. tz..GtSor� •C,*• 1;:`':v►tet oia) * 3 1 6. 0 0
OWNER i PHONE
IZOi�-M CNP.N3e-r ( ri) r E
3. -G5-13 353 1(701 A * G� 00
ADDRESS ZIP
Actual Set Backs in Feet
VNI, G9O6IANC tit.POQ f. c \J\JC WISt4 Northa,I (South 1.''j East 2.451 IWest b V 1 4
CONTRACTOR PHONE Size of Parcel Zone Classification
4. ✓F- w8 WOR4 42k" "3-A.8-71442 83.G 't X 1JCs : c2.--1
ADDRESS ZIP T pe Const. Occupancy Sprinklered 0 7- 1 t —8 2
E N --,1�_1 Dyes ❑No 0 Req'd.
DESIGNER PHONE Val
uation
�7 /� / Building Area in Sq. Ft. _ 6 6,7 9,
'T` 15"{ t 4
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
1344-- cj 9,
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. Cite C:ouee eVa,
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE.
OF �.f ❑ OTHER Req'd. Recd. Not bYeq'd.
WORK Ili? BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE +/
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) '
8��- croG�. 'Ff>M►L-kl , ga....i CN _, E T�CE 6iPgAA ^1iC . O I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership / USE CODE
9 -�j�1 LITIES
UTILI5E:pri y Public ❑Private CS
. /
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 't 3'Co -Building
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 Plumbing
DATE OF APPLICATION , Y .-/ l SIGNATURE OF APPLICAN$6//"/// 'i (2 Gy Mech.
SPECIAL APPROVA S v SPECIAL CONDITIONS:
NAME DATE Plan Check
En ee�t h/J 7//2-'
J
IG !%`�C.��� 1/!/� SEPA >--
0._
Tanning U
Mobile Home LU
Fire Marshall ii
Co. Engineer Other (Specify)
K) J•C VYVAL LS '71 1-2-4 82 '
Utilities 31 G• °C�
TOTAL $
PiQs Exami r
10 E C�,OChJc.7 7-/3-•2-- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 017 ----'1 8'2 6 0 L 9 °z *3 1 6.0 0 u°'. Fes- -
00. 4,9lty- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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