1982, 08-23 Permit: 82A-7364 ResidenceNUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
2. A�
A,Dt, ice7�
OWNER
MP—SC-0jt�. t_.6rz 5
PHONE
-6?
J?7(4 or
3.
ADDRESS
ZIP
Actual Set Backs in Feet
W • "30 1 D1/1E�(
�
A -Lo ,
North i South East i West lb•
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
lb5 X ISO -j"(0
S+NG.FAMii4
4. ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
_\1
t7
K ✓)M-`
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Val tion
Building Area in Sq. Ft.
4z,`"3%2.ig
1-1i40
s.
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
17e`-bZ
—
�'+r�4
—
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
UnfippBasement
6.
1
—
--
TYPE NEW ❑ ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
i
No. Rooms
No. of Dwellings
% OF ❑OTHER
Req'd.
Recd.
Not R
WORK ( BLD. ❑ PLMB. 13MECH. 1:1M.H. ❑ POOL
CERTIFICATE
I
q'd.
jL
of EXEMPTION
DESCRIBE WORK
8• S, (r C FAMIi-�I 1'ct pE�.)G E �+►�1,(j�E {�'�TACE
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership USE CODE
9.
I UTILITIESP�4aeIC
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
$P cora 1 .OG
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 APPLICATIOru1N`�((
�_3_--_y--_ SIGNATURF OF APPLICANT /
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. P,961th �y �/
'! OJ SEPA
PI nning
Fire Marshall Mobile Home
Co. neer Other (Specify)
Utilities
TOTAL $
Plans Examiner
011 Ft( -E" WHEN MACHINE VALIDATED IN TH
SEPA Checklist THIS BECOMES A PERMIT.
B ViWechnican� PERMIT IS NONTRANSFERABLE o's,i `'�3`-8 2
PERM�ITd-7NUMBER
Gni - ! -5
02* *291,00
*291.00
A *000
73622
08-23-82
6479,
736j4Z *2911002-ij- -