1982, 10-12 Permit: 82A-9419 BarnPLAN NUMBER
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
2.
JOB ADDRESS //�� �^I
LOT BLO� 4j l j\ V V P zc
OIs- /-
3
4.
�K P
DIVISION ^
OWNER
I\ M NJ''�rJGj9z't
ADDRESS
CONTRACTOR
PHONE
LEGAL DESCRIPTION - SEE ATTACHED
4-08 0
PARCEL NUMBER/S ry-7rq� ^ d 7 I 5
-n-i- • ? co''f►l q-0 TO 1\i
To 1244 or �� - �Fst-t 7v rof�
z2
Actual Set Backs in Feet
North South /
East / (West
H NE
ADDRESS
ZIP
Size of Parcel
j 20 X AGO
DESIGNER
5. ADDRESS
PHONE
Type o st. riTancy
Valuation
Zo e Classification
Sprinklered
❑Yes ❑No E Req'd.
Building Area in Sq. Ft.
ZIP
Main Floor
Upper Floors 1 Garage Area
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
rr
Unfin. asement
TYPE
7. OF
WORK
[2":1\;w ❑ geBLD. ❑ PL
LT. ❑ AD'N. ❑ RPL.
MB. ❑ MECH. ❑ M.H.
❑ MVE.
D POOL
❑ OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Ngt,,A eq'd.
8.
9.
DESC
RIBE WORK
1--'L/' l�
VALLAT
ON
SOURCE
OF
UTILITIES
GAS
(ice
LECTRIC
WATER
SEWER
! IGS
Enum. Dist.
Ownership
Public ❑ Private
ILocation (Area)
afrSV; CODE
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
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 constru _EE REVERSE SIDE FOR REQUIRED INSPECTION
Z----'‹GNATURE OF APPLICANT
DATE OF APPLICATIO
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
VIP611— IbI\2),gZ--
lanning
Fire Marshall
Co. Engineer
Utilities
Plan; Examiner
t2210
SEPA Check�t
:U . > hr'i
FEES COLLECTED
Single $
Building 321
Plumbing
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
-+I/
PERMIT NUMBER
C3 -7-A 4-161
02* *32.00
*32006
A *0.00 8
941.08
'10-12-82
z 5,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1'0-12-82
DATE ISSUED
941.92 *.3.20020 -
PERMIT NO. TOTAL