1982, 03-24 Permit: 82A-2127 Residence PLAN NUMBER MIT NUMBER
APPLICATION/PERMIT PERc Alk - ztzl
SPOKANE COUNTY —a�t31PLDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
(1/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS C 2 * * :7: 6 L 0 0
9,A 7 C�o�, LEGAL DESCRIPTION — SEE ATTACHED N
L T BL K 5UBD1 4)111:9 PARCEL NUMBER/S �,s� —1
2.i � 'R �OPHON �f r J 6 C O O c:
3 DDRE S P Actual
SettBacks in Feet �//1 j 9 7. 7='
(�9'/, c North ,rZ� ISoutha" East IWest 0 v `
CONT�R le ONE Size of Parcel Zo a Classificatio�een� .II
( I- 'p i I r l E 6475
4. ADDRESS ZIP TypetfC�g]nst. Occup c Sprinklered
v�V3 I Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Buildin Area in S Ft.
56 380 'ion
5. ADDRESS ZIP Man Floor, Upper Floors Gara a Area Storage _
CHANGE OF USE FROM TO 1(Area ofof ticks Finished Basement Un in Basement
6. ��- -
No. ths No. St,Ories No. oms No. of Dwellings
TYPE EW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 1` +I
7, OF 0 OTHER -
CERTIFICATE Req'd. Rec'd. Not Req' .
WORK CCCJJJ BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) r
8. Kr-T7TO
, „q_ / � FEES COLLECTED
1� """VVVC� 1VALUATION SOURCE AS ELEC RIC WATER SEWER Ownership USE CODE
OF
9. UTI LITIESrir `ice Public 0 Private
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 2Building
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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPEC A S Plumbing
DATE OF APPLICATION 3� r 2— SIGNATURE OF APPLICANs` //6. Mech.
SPECIAL APPROVALS SPECIAL CONDITION$._ I
NAME DATE „a Vf�. - c Nil ..CO- .� j 4 rIf
9�" B9 Plan Check
E ea th w
.?,i SEPA >-
->
tanning C..
Mobile Home LU
Fire Marshall J
ii
C-2' .. tier .w�///1�y Other(Specify)
Utilities ///'yf !/
TOTAL $
Plans Examiner
i I 0 r WHEN MACHINE VALIDATED IN THIS SPACE,
SEP Checklist THIS BECOMES A PERMIT.
..1-z,1;14 c PERMIT IS NONTRANSFERABLE Oji P i2)1"'8' 21 2 1 2 7 2 *3 6 2.0 0 2 r2, —
Q
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
t O