1982, 08-09 Permit: 82A-6936 ResidencePLAN NUMBER APPLICATION,/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
s
LI/ APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
1? �A.
_
L DESCRIPTION —SEE ATTACHED
1
4' ADDRESS
��
Type Copst.
LO
BL
5 yBDID VI IO
MBER/S
2.
❑Yes ❑No ❑ Req'd.
" f^��'
PHONE
UN
OWN
f2 Kj
PHONE
3.
13
lo
5.
F/
AD SS �
���
ZJ13 2,0
Set BacksFeet
r -2 -
Mai r® Up�
O
Floors
G ra a Area
9 p1
Storage
-
CHANGE OF USE FROM
East West 1"
CONTRACTOR
PHONE
Size of Parcel
D
one Classification
ZC �> 5
-
4' ADDRESS
ZIP
Type Copst.
Occu ancy
Sprinklered
�VII♦VI
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
13
lo
5.
ADDRESS
ZIP
Mai r® Up�
O
Floors
G ra a Area
9 p1
Storage
-
CHANGE OF USE FROM
TO
Area ff Decks
Finished Basement
Unfinn. Basement
6.
LiW
J(J
No. Baths
o. Stories
No. Rooms
No. of Dwelling
TYPE W ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not eq'd
WORK
of EXEMPTION
D SCRIBE WORK
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
SOURCE
G
LECT IC
WATER SEWER
Ownershipnpresume
DE
9.
1UTILITIEO5
Public ❑Private
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" proded
on reverse side, and know the same to be true and correct. All provisions of laws and ordinancthis
type of work will be complied with whether specified herein or not. The granting of a permit dme
Building
to give authority to violate or cancel the provisions of any other state or local law regulating contheperformance
of construction. SEES REVERSE SIDE FOR REQUIRED INSPECT S
Plumbing
r6 -' ' �IGNATURE
Mech.
DATE OF APPLICATION OF APPLICA
SPECIAL APPROVALS
NAME DATE
4Fire
Z
hall
Co E gineer
Utilities
Plans Exp
SEPA Checklist
,-- Build ing'YeclyT_—,an i
SPECIAL CONDITIONS:
Plan Check
SEPA
Mobile Home
l'GY}1,%r�h�ct, cv.�koariac� c/j//avuo ��a. Other (Specify)
-
1 0 iU lob Cle-ceco
TOTAL $�
j_ WHEN MACHINE VALIDATED IN THIS SPACE,
"� THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE B "'`''Q 9 ''8 2 6 9 16 z* 4 2 4 0 0 a -
--- ----------
`s C,
�L
� � I
LEGAL DESCRIPTION
ru z C, t-, YT C. F
_14 112 'i-1`6 S .0"k. TN "v4lLY uLG Si.Y lt+ S3FT T + tYLY TO NLY LN
"
9. 2F T 'W E& �p "; C �fi iH ScLY $.2F t T ! 'v1CCR T H S T:3: POE