1982, 06-18 Permit: 82A-5107 AdditionPLAN NUMBER APPLICATION/PERMIT
PER NUMBER
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SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0 2* 8.2" 0 0
APPLICANT: COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
S'
LEGAL DESCRIPTION - SEE ATTACHED
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LOT
BLOCK
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PARCEL NUMBER/S r i
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2.
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IFCV
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51 0,6
OWNEJR
RHONE
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3.
06-13-82
ADDRESS
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Actual S t Backs in Feet
r43
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North South East West
6,479.
CONTR T F3,
PHONE
Size Parcel
Zo aClassification
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of
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4.
ADDRESS
ZIP
TV gonst.
Occupancy
Sprinklered
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❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuati
Building Area in Sq. Ft.
5.
_
ADDRESS
ZIP
Main FI(forV
Upper Floors I
Gar Area
Storage
CHANGE OF USE FROM
TO
Are of Decks
Finished Basement
Unfin. Basement
6.
i_
No. Baths
No. Stories
No. Rooms
No. of Dwellings
TYPE1:1
NF,W ❑ALT. AD'N. ❑ RPL. ❑ MVE.
/ ❑ OTHER
7, OF ;-B
CERTIFICATE
Req'd.
Recd.
BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
WORK
I
of EXEMPTION
jNojXq'd.
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DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
i
8. ik9�
VAL ATION;OURCGAS ELECTRIC WATER SEWER Ownership CODE
1UTILITIESSE
9.O(:�' Public ❑ 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
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 cons ruction or the
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI / Plumbing
/
DATE OF kJ I / �� / f�� �' Mech.
APPLICATION SIGNATURE OF APPLICANT -
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
{ SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
t1. WHEN MACHINE VALIDATED
IN THIS SPACE,
f eck THIS BECOMES A PERMIT.
Buil Tech PERMIT IS NONTRANSFERABLE 0.�.�`1'&`'8 2
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