1982, 12-10 Permit: 82B-1828 Fire Damage Repair PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — DEPARTMENT OF BUILDING & SAFETY -ia Ib2-'8
1.1 NORTH 811 JEFFERSON/SPOKANE,WASHINGTON 99260/(509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
STREET ADDRESS PAW:EL NO.
1. 5. 1� 14-- r.4 11,, eiri � I �4-3 -- o-70
2 LOT BLOCK. 7 Suvl�slo�l, r� i 51
LEGAL DESCRIPTION:
OWN yet1 ✓� N PHONE
1 j
3. MAILING ADDGR}ES �l ~ i ZIP Actual Set Backs in Feet to:..?A fl 40
. is/ 1+ �PKI� rI ' > North 'South `East l West
CONTACT
ROR LICENSE EXPIRES Size of Parcel Zone Classification Residential M I( 3'3 801 Commercial❑
4' ADD149,B27J '5r`�y/ ZAP ^Zr 22— TypeC�ons�. Occ nay Sprinklered
v N ❑Yes 0N ❑Req'd.
DESIGNER PHONE New Const.Valuation Remodeled Valuation Total Bldg.Floor Area
5. -
ADDRESS ZIP Main Floor Upper Floors Garage/Storage Greenhouse
CHANGE OF USE FROM TO Cover Deck Uncv.Deck Fin.Basement Unfin.Basement
6.
/ No.Baths No.Floors No.Fin.Rooms No.Dwellings
TYPE 0 ligW 0 ALT. 0 AD'N. D RPL. 0 MVE.7. OF OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 11 POOL Certifi.of Exempt. Required Yes No❑ Number
or Variance Received Yes❑ No❑
DE B RK �� Shorelines/Flood Hazard Plans Required❑
8• r � �-• Yes❑ NotApplic.❑ Received ❑
[AL(iATIOSOCE GAS JZ. f71¼j
ELECTRIC SWC GE Ownership FEES COLLECTED
(inn UTILITIES PUBLIC O EI ❑
PRIVATE❑ SEWER❑ Public 0Private„,121/
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 type of -- --.40-
work will be complied with whether specified herein or not. The granting of a permit does not presume to give au- Building
thority to violate or cancel the provisions of - y . her state or local law regulating construction or the performance
of construction.SEE REVER IDE FOR R Out •ED I SPECTI•NS Plumbing
SIGNATURE OF ` % APPLICATION/o�
OWNER OR AGENT 41,,x.. �� . .�. DATE y "'�
oMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:(SEE REVERSE SIDE FOR NOTICE)
PRELIM. FINAL DATE Plan Check
Env.Health
SEPA
Planning
Modular/
Fire MFG.Home ),
Prevent. a
O
Engineer Other(Specify) v
w
J_
Utilities LL
_ TOTAL $
SEPA
PERMIT IS NONTRANSFERABLE WHEN MACHINE VALIDATED IN THIS SPACE,
Plans THIS BECOMES A PERMIT.
Exam. PERMIT IS NULL AND VOID IF WORK HAS NOT COMMENCED
Building IN 180 DAYS
z * 2 QO O Tech. ( IX0 DATE` U_DL 0 —8 2 PERMIT
. 2,8 +' AL