1982, 06-24 Permit: 82A-5351 Remodel PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 'S —
`/ iNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESF.HAFiD TO MAKE 3 COPIES
J BAD RESS taI OC 'k * GG�00
1. 9..a •)164-1
LEGAL DESCRIPTION — SEE ATTACHED J 0
LOT BLOCK SUBCIVISION PARCEL NUMBER/S 6.2_, ___I _2/71.7
z—
OWNER PHONE
3. — IN 1— - 1 X707 r 6479.
A RESS ry���i� i I Ci} Actual Set Backs in Feet C - `II �' ✓ LI� �I�PNorth (SouthEast (WestCONT RAC OR 3;8
ONE Size of Parcel Zon Classification
4' ADD At g.V .
ZIP Ty`ple onst. ,Occupancy Sprinklered
�/ �3 Des ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 IEW ALT. 0 AD'N. 0 RPL. 0 MVE.
7," OF / ❑ OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Noteq'd.
of EXEMPTION
8..
DESCRIBE 'PS 5l C)9 L Enum.Dist. I Location (Area) FEES COLLECTED
VAtLUA ION SOURCE GAS ELECTRIC WATER SEWER
•� �,�l�t� Ownership ,, /USE CODE
a /o 0 UTILITIES %7 y,.�IC- Public El Private IJ Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included ---7on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this Building vii
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 /1
Plumbing
DATE OF APPLICATION _ _2 SIGNATURE OF APPLICANT 4 izt.(,o4.Px Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE brvre 5_ kl I P k) Plan Check
Env. Health ��--''rr// '"��!! 'h��-/l ,,�',z'/�,, N
(`.l 7 W'r nrll'i�`?2 6, SEPA >-
Planning a-
cl-i- " 0N-K , eli_.-L H-51 I-1—r) _ c.,
Fire Marshall Mobile Home w
. -f- 014 - -'(r--r-c ), RL-42.. rz
Co. Engineer Other (Specify)
Utilities ,C)
TOTAL $
Plans Exxa�mineeer
Ido1 r 10- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
•'
Bui echni� 0
PERMIT IS NONTRANSFERABLE I = ° d -II-6 .!✓, $ 2 5 35. 1 z *2QOOa -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
I