1982, 07-19 Permit: 82A-6143 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
-
L" /7.-6- SPOKANE COUNTY — BUILDING CODES DEPARTMENT 62-A —1 1
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
0,1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
S ‘345 T�r .���.�,e LEGAL DESCRIPTION — SEE ATTACHED 0 2 * * 1 5 6.0 0
1. LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 1 5 6,0 0 L
2. 14 %t- Te..,...`TGkr-1 AC.R-c. --c-9. tNGr% 8‘A * Gi, C
OWNER PHONE
3. 6 R a.r'.): .3, G- ersi ,c. "...4-54-3- c`s>,i, 4- 6 0 1,6
ADDRESS ZIPActual Set Backs in Feet
' I• i€ -re Mr56--a-LA.K My 3-1 North 'F-.+ 'South East (West 0 7— 1 a 8 2
CONTRACTOR _ PHONE Size of Parcel Zone Classification 6 4 7 Q.
4. l5A2 t L.,e'R 73....,.�n G S 255-4%V2�8 '► d ic; 1€0 C.. S:..
ADDRESS ZIP ,` Type Const. Occupancy Sprinklered
—9 .Q . -t36k 1.4'��®ts I4 �'t iV v.3f/K-I ❑Yes El No ❑ Req'd.
DESIGNER PHONE Vfaluation Building Area in Sq. Ft.
YC 14,2.a.e, C..4-c.3
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
Coop
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
TYPE YJ/ FAWN.
No.Baths No. Stories No. Rooms No. of'Dwellings
EW D ALT. AD'N. ❑ RPL. 0 MVE. 1
7. OF 0 OTHER
WORK
PrBLU. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Rpq'd.
of EXEMPTION �/
DESCRIBE WORK Enum. Dist. I Location (Area) '
8. 3 rt o " 'TO ZES i C 'kr-6 (I40X40) I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership /USE CODE
OF
"At': �,Ot- UTI LLITIES , ?"''Ito Public 0 Private LY
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 4- 15'bc4
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 INSPECTIONSPlumbing
DATE OF APPLICATION 7-H- �-Z SIGNATURE OF APPLICANT'S" .6. 44"t4)171-
4 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check _
I Env. t
� 7/e/
SEPA `
c
Planning cc
Mobile Home L
Fire Marshall
i
Co. Engineer Other(Specify)
1‘)c7-c ZEA'D
Utilities s
TOTAL $ r!`Jtsg••CAP
Plans,aminer �„
e,-t n> ,_ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B ing TTechnicia�n PERMIT IS NONTRANSFERABLE 07'7-19. _8 2. 6 1 4.3 2 *156.0 0 a
[JC/`e, 7T'^c PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
50'
JuRCOctcEN ADv1-\t( 70 Rt.S\D NL .
01 14 NIS -2_
R d-rLtFo Kn 1).(, ....e) 7 Ek'L1"
L
5I'OKt'tC`F- WNs k.
I /
0
01 N
z3
k-
M
DI ttt�, tz..\..� N
N
Nj
. ,' b7'
coi
l 9ao t-zor1 so--.‘c_. (CNK
N - S
t
. ,
) ' oo
SO. i
N
t i
/
1 %
141)D 11tp• N1/
1(o'x40'
\ 1
, I/
I \\�E /
i /
ti---------------,.____131 ,91
_. -.---,_ 131 ,9