1982, 06-04 Permit: 82A-4566 Solar InstallationUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSt
� r 1 07 LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK 1111 I IS ON PARCEL NUMBER/S
OWNER PHONE
3. G�r'(Ql
ADD4jESS Actual Set Backs in FVFeet c r0,7 North South East West
CONTRA TOR PHONE Size of Parcel ZClassification
4.J! IVI Si4 ` ;4 "W eZ - -,5u 6
ADDR SS _ Ty pg Cpnst. O uay Sprinklered
IVEl R
72M C,eq'd.�
DESIGNER PHONE Valuation ^ �C c3 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.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7 OF WORK 1-1 BLD. ElPLMB. ElMECH. ElM.H. F-1POOL
OTHER CERTIFICATE Req'd. I Recd. Not R d.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
$ � � l I� FEES COLLECTED
VALUATION SOURCE i V GAS ELECTRIC WATER SEWER Ownership E CODE
9. 00 UTILOITIES Public El Private Single $
1 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 thisBuilding
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 &�� SIGNATURE OF APPLICANT ' Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning
Fire Marshall Mobile Home
Co. Engineer Other (Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN TH
SEPA Checklist THIS BECOMES A PERMIT.
Bui Te c n A PERMIT IS NONTRANSFERABLE
PERMIT NUMBER
> SPACE,
1
4'5 &6 z
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