1982, 03-15 Permit: 82A-1808 Siding, Soffit, Fascia PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT `��� I 5
ElNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS fIARD'TO MAKE 3 COPIES
NI
JOB ADDRESS 02 * * 5 /1. 00
,
1 �� ��� LEGAL DESCRIPTION - SEE ATTACHED -_
2 LOT vB� CK SUBDIVISIIO PARCEL NUMBER/S 7.3543
— /�/ 5/ 00(_:a C
Y k Y
OWN81:L ) PHONE • . .r ` 4.),- '2. 42//u. Oi`' "L�' ,!/�/,C-,
3. 7 -- Stzt�Lk e'/.4, -,334/ '- �=' - v'y' ' s. R * C�. ,;
ADDRESS �j ZIP Actual Set Backs in Feet 1 8 a c
E - I 571 b L/cuLec( 'Jc t1, 9 e3 North [South East (West
CONTRACTOR � / PHONE Size of Parcel Zone Classification 0 J- 1 5- 8 2
4. )Tic LI icy tri-Az L' t f/'Tr!-t I',5 e7,I-�k''6 U a ?9
ADDRESS ZType Const. Occupancy Sprinklered
!l • 3ILt-, / yu Aooce . [ei-l: ,
❑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
❑ NEW D ALT. ❑ AD'N. 0 RPL. 0 MVE.
7, OF OTHER
WORK 0 BLD. 0 PLMB. 0 MECH. D M.H. 0 POOL 0 CERTIFICATE Req'd. Rec'd. Not Req'd.
Cdi.l. of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. tsg• .k c t ; 1 S� v 7c..-c
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
9....P/ C'. tiC� UTI LLITIES Public 0 Private 0 ,� CC
$
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 t
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT ?I/�, `�''�/ / / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
Planning p
J
-
Fire Marshall Mobile Home �4
Li..
Co. Engineer Other (Specify)
Utilities
TOTAL $\5-4, LA0
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
c_ wilding [ chniE PERMIT IS NONTRANSFERAB' *�� �f''8 2 118 !, 8 z ` .'5 4.0 0 a H —
(- PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL