1982, 06-15 Permit: 82A-4976 Residence PLANMR7 3�, APPLICATION/PERMIT PEITNUMBE 742
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
91
Pi APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS e206s,7,.g'
. 1. SbL� R, TZ~tt-1 LEGAL DESCRIPTION — SEE ATTACHED 0 „ * * 4 2 1 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 13-4 4- 1 'Kc t(D'v�c, —Coc�r�s•re5 * G 2 1 0 0 �:
OWNER PHONE * 4 2 1 0 0 v
3. '�► t2nV A21::1 S-a=b tc«E C .,Co-3os7 S54--3- 4-t let
ADDRESS ZIP Actual Set Backs in Feet ,1 * COO
E.. 13"318 Lel.Ft el 41 t(.. North 2.4- 'South 151 East -5 IWes2 4 8 O 2 .s
.-
CONTRACTOR PHONE Size of Parcel Zone Classification
4. SO4at�.ic i(3b AG..S�...3• 0 6— 1 1 -- 8 2
ADDRESS ZIP Type Const. Occupancy Sprinklered
11:0.4,e.n€ .--gNM-1 Dyes ❑No ❑ Req'd. ,r7. 6 4 7 9
DESIGNER PHONE ration Building Area in Sq. Ft.
74,.7l.a 2.StO
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
ia�o COG — —
CHANGE OF USE FROM TO Area of Decks Finished Basement I Unfin. Basement
6. I ktsa
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
19"NEW 0 ALT. 0 AD'N. 0 RPL. ❑ MVE. 3 1 4 1
7. OF _/ 1:1OTHER
WORK V�BLD. CiPLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not F;eq'd.
of EXEMPTION V/
DESCRIBE WORK Enum. Dist. I Location (Area)
t FEES COLLECTED
8. 43i n.�GE 4L � t-• `td-G . �ip%1_ C„E T1-G: (b4ED I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership / USE CODE
9. UTILITIES ..5ev "tyc Public ❑Private IY
/ 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 *414•0°
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 INSPECTIO�Iy�$;'}L Plumbing
DATE OF APPLICATION ti% //-,2� SIGNATURE OF APPLICA� G` �`/�/ `�' ' � Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
jeeith 431/S-
SEPA
a.
Planning 0
_ U
Fire Marshall Mobile Home
Co. gin Other(Specify)
���; moi/
tilities
TOTAL $Masco
Plans E aminer
, //
�•.t� � > �` /T „7 WHEN MACHINE VALIDATED IN THIS SPACE,
g'rPA Checklist THIS BECOMES A PERMIT.
V/Building Technician PERMIT IS NONTRANSFERABLE -i rj`. 2 4' 9 j 6 °z *42 1 0 u a, , -
--OgevC 949" PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
130'
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