1982, 11-19 Permit: 82B-1207 Relocate ResidencePLAN NUMBER• PERMIT BE
APPLICATION/ PERMIT
� , 120
SPOKANE COUNTY BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
U APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. i�t, c}3d'Z Std LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S
2. 3 1 1 Tcr*Ae1,AD z) t 7-, t, N
OWNER
3. L-iry N C t cL
ADDRESS
h1 06Kd-
PHONE
: -S-ZssPTN dT
ZIP Actual Set Backs in Feet
41Z_C;i f- North South ;Z® East
r
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
4. ADDRESS
ZIP
Type Const,
Occupancy
Sprinklered
�•�j
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valtion
Building Area in Sq. Ft.
S.-700
cis(:)5.
ADDRESS
ZIP
Floor Upper Floors
Garage Area
Storage
'CA 156
"1�
—
e.
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
1
—
—
as -a
TYPE
No. Baths
No. Stories
No. Rooms
No. of Dwelling
{
11 NEW El ALT. F-1AD'N. 1:1 RPL. U(MVE.
k
LL
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. El
CERTIFICATE
Req'd.
Rec'd.
Not Req'd
WORK
of EXEMPTION
I
t%
DESCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
$ �EC�GMt'L6 DIES t ��
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.
OF
I UTILITIES
Y t t--
Public ❑ Private
Single $
1 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
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 INSPECTI S
MATE r)F &PPI ir`ATIr)N // , /✓ %C- jCI(:1\IATI IRF flF APP I ir`4A1 J.64A —/ 'A6;,1,
Plumbing
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
E H It
%//A f
i SEPA >
a
C
Planning L
Mobile Home LL
Fire Marshall
Co. Engineer Other (Specify)'—
� G•..5 .Sl��.l��� Z
Utilities
TOTAL $ l •6n
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
klist U.01 THIS BECOMES A PERMIT.
Bf}������\11 inQf�g�J(/�J�TZ/yCghnici�an PERMIT IS NONTRANSFERABLE`) Irl •9' 8 2 1 2 017 z� *•118.0.0 a
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