1982, 03-01 Permit: 82A-1363 Damper PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT09,A- 136,
cii NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
MI
JOB ADDRESS G4 * * 1 4.00
P-/ StiG:/ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 4O O 6
2. i i.
OWNER PHONE
3. Og t.//0 L. Vcif '. 9'02 —5.5 7 A * 0 0 0
ADDRESS / ✓ 1 3 6 2 0
�i d / ZIP 7 / Actual Set Backs in Feet
/V. /-7 ,��T SL-4,a,`✓�'h/61441 /y 0Z�IF North 'SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification 0 3 0 1 —8 2
4. i4 A'4f n-1,5417 t/ly /1"4,_ /4-c.. y �'-Woo o 6,4 7 9,
ADDRESS 1p ZIP Type Const. Occupancy Sprinklered
1 /3 7/C/ /- -t fC:01/ fo ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
El NEW ❑ ALT. El AD'N. ❑ RPL. LI MVE.
7. OF ❑ OTHERReq'd. Recd. Not Req'd.
WORK
ID BLD. ❑ PLMB. I=1 MECH. ❑ M.H. El POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORKnn Enum.Dist. (Location (Area) t
8. /-1"-S- fu C/ Fik F A-17 � LY-1..,' e S iK,n,4-�*e -� FEES COLLECTED
VALUATION
SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0
• 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 construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION j1. — r9 S t - SIGNATURE OF APPLICANT //C .-e----41-3-."---`----- Mech. Ie.elf
SPECIAL APPROVALS SPECIAL CONDITIONS: ,a,,. ter. 7/Gel
deck NAME DATE 1., (� Plan l;heck
Env. Health J G[L-r'' F°E T' /' ,,C"rti/ C,/"
SEPA %i_
c)
Planning C)
- w
Fire Marshall Mobile Home _'
!L
Co. Engineer Other(Specify)
Utilities
TOTAL $ /4 "A
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
�`ng Te - PERMIT IS NONTRANSFERABLE 0 15'7' .0 �;'-8 2'
136.32 * 14..0Oa � -
irff PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
S.. .. - -