1982, 07-13 Permit: 82A-5956 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT `sem r°' - 59,5
C/i
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. NJ . ®� Vat.) A!2TE�_ 0 2 * * 2 0 0 0
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 6 Z MAK) (NIA4,162 AAQ, a OPPoR,'t• * 2 0.0 0
OWNER PHONE
3. '\ -sir.. ��vv.),„xi-v X3.4"C�.... V 1,543 -(14-61 A * 0. 0 C
ADDRESS ZIP Actual Set Backs in Feet' t -rlNC, 5 9 5, 5 2
N --6ne-A. t to INS•AYz-ct-,_ k_ North (South East 'West 0 7 1 3-8 2
CONTRACTOR PHONE Size of Parcel Zone Classification
4. -E-NEr2 c>LI C`-`T to"...9'S "74-7-e.4 So I WA AG..`msµ' 3tA.5 z 6,4 7 9,
ADDRESS
DDRESS �-� ZIP TeCost. Occupancy Sprinklered
' • 140'L � t•S• 0-^-� � Oyes ❑No ❑ Req'd.eq'd.
DESIGNER PHONE
Valu tionn' `Q�. Up
Building Area in Sq. Ft.
5. ADDRESS ZIP Floor Upper Floors Garage Area -
- LOS
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,�/ No.Baths No. Stories No. Rooms No. of,Dwellings
❑ EW ❑ ALT. Lid AD'N. ❑ RPL. ❑ MVE. l
7, OF ❑ OTHER -
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not,Req'd.
of EXEMPTIONvf
DESCRIBE WORK Enum.Dist. I Location (Area)
an e U. i461/4 (.)`7 i-rco/ ) 1(ex 1. .. I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
b ' Ownership USE CODE
(y4-
UTILITIES ,,""p-,1%c, 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 4•Zex)
type of work will be complied with whether specified herein or not. The granting of a permit does no presume Building
to give authority to violate or cancel the provisions of any other state or local law -g atin. onstru ion or the
performance of construction.SE REV RSE SIDE FOR REQUIRED INSPECTION' 1 Plumbing
7 O
DATE OF APPLICATIONI4
' M Z
g SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
1•1O1 z 0 E. c:,'r t vVG 51.104%. SEPA 2
Planning D
- w
Fire Marshall Mobile Home --I
Li:
Co. Engineer Other(Specify)
A',c-r "?--156-f"
Utilities �`C�
TOTAL $ .2 'CO
n
s Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
Buildin Technician PERMIT IS NONTRANSFERABLE UI'��:'3 8 2
5 9 5,6 z *2 a O a F -
�� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL