1982, 03-16 Permit: 82A-1836 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT' S
SPOKANE COUNTY —`BUIL•bING CODES DEPARTMENT ( ,b(t)
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
1,....)
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS c//‘ L;� ki 0 2 * * ()'7 O 0
1. K , o2- �% , LEGAL DESCRIPTION — SEE ATTACHED 0 O
LOT BLOCK SUBDIVISION PARCEL NUMBER/S4.4_ *
Z. OWNER YMik. HONE ki: f?I tiirl '� - 5E. •9 81 2: 0
3. �'c'1F�"ic`f- 'v..J ki�(NI<-' .„RHONE
.. "2,r20. i ✓ 0 3- 1 5-8 2
ADDRESS�? ( `/[�I {/�� ZIP Actual Set Backs in Feet 6 4 7
6,. I`Y 9'0 Yom\ ✓4,r LJ ( North 'South East (West I�
CON RACTOR _ c5,HONE Size of Parcel i Zone Classification
4. ADDRESSZIP Typ Oonst. Occuncy Sprinklered
- 1 `, ,(17 2 pa ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5 ADDRESS ZIP
GN,roor 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
❑ EW ❑ ALT. A'D'N. El RPL. ❑ MVE.
7, OF ❑ OTHER
WORK BLD. ElPLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Recd. N t q'd.
of EXEMPTION
DESCRIBE WORK T Enum. Dist. Location (Area) '
8. (!✓<�L ��/ ' r) y ft��t FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership //// E CODE
OF
9. UTILITIES k_- 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 Building4.-7
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 INSPECTION Q Plumbing
DATE OF APPLICATION I SIGNATURE OF APPLICA'- `, *.'e -4().12 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:7 i
NAME DATE 604f,, L K f C~fel - CO' r,! T C z r27 ) Plan Check
Env. Health n�-� y �_ I { '`� I /T
U'f -bow' /.�L„i.&LGRfd:2 SEPA 4
Planning O
Mobile Home W
Fire Marshall —1
Co. Engineer Other (Specify) L
Utilities
TOTAL $ _I
'- -ns E .mined
,. _ • WHEN MACHINE VALIDATED IN THIS SPACE,
•. ' ecklist THIS BECOMES A PERMIT.
eui T43; ian PERMIT IS NONTRANSFERABLE 0``3 6 8a 2' 18 3.6 'z *4 7.0'0 a FJ
Y PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1
_.)„.47La
6 �l'X' � � NiN )ci,t,)A
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