1982, 11-05 Permit: 82B-680 Residence (PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
I SPOKANE COUNTY - BUILDING CODES DEPARTMENT 472,-r-, "
0,./ _ - NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
yr-
JOB ADDRESS
1. .20.t Y I.2e..,w1A C.\ -amu S4yokeyv LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 1 C., iktu_V&A) £.SztA~.c -
OWNER PHONE r z. L,
3. a‘o/1 ALA/A ('_,Di1)—cQu.L-rkON 4 - 7O0 Z 7543- o o - 0 0 Y
ADDRESS ZIP Actual Set Backs in Feet _rr I', w
�. 20g..6 t.trati:ARn WA2 3 North (South 34? East (West ..Z-
CONTRACTOR PHONE Size of Parcel Zone Classification
SAvAE `35 X YZS •11V(LL+C ir#4r4,LL
4. ADDRESS ZIP Type Const. Occupancy Sprinklered 1 .' - C :." 2
• 10A1VVE. J{.IJ 12,..--3 ❑Yes ONo 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft. � ( '7'C
5. 3f 1448 CI i"2-..
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
A
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. UNC- Ac 4e94-
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
EW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. Z 1 CO f
7. OF
(VI BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Rsq'd.
WORK ✓
of EXEMPTION
DESCRIBE WORK Enum.Dist. Location (Area) FEES COLLECTED
8. SW/,LE- FANlliv 14 kt1r:n1L6
VALUATION SOURCE GAS ELECTRIC WATER SE ER
/yV Ownership USE CODE
OF
9. UTILITIES v 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 Building ZSZ•ua
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 INSPECTION Plumbing
. .., 7 )/
DATE OF APPLICATION /( SIGNATURE OF APPLICANT C4.- a Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
No-r 1Z .c� tf SEPA a'
F
Planning CC
Fire Marshall Mobile Home
u
C•. n• r _ �� �Q �� � , 2G/ r I (�_' not 1 Other(Specify)t V
uts
TOTAL $ 2gZ.Gb
Plans Examiner
NCYc iZ,ep0t�-�..tArws c)N F«..€ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ilding Technician PERMIT IS NONTRANSFERABLE 1 '- 5 '\8 2 6 8.0 z * 2 5 2.0 0 2 pi- -
` � PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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