1982, 01-15 Permit: 82A-325 Insert PLAN NUMBER APPLICATION/PERMITyy� PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT /�" '�'�` - 3��'
eiNORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TQ MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED
1. N ,4%i\ Ve c.. 2 sao :
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 0u. * * 20.00
OWNER PHONE
ADDRESS ZIP Actual Set Backs in Feet ' 2, 4 _4
N • 41.t t tice_c_LE o 44' j C. North 'South East 'West
CONTRACTOR PHONE Size of Parcel Zone Classification U 1 — 1 5—8 2
Y1'Lf
4' ADDRESS ZIP Type Const. Occupancy Sprinklered �'4 7 9'
N.C. ❑Yes El No 0 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.
TYPE / No. Baths No. Stories No. Rooms No. of Dwellings
M NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF 0 BLD. 0 PLMB. Er/MECH. 0 M.H. El POOL ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd.
WORK
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area)
8. V� J�e- --c-c.) 6 C i KJ SEP-1 1 l FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public ❑Private 0
..- \. 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
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 const ction or the
performance of construction.SEE REVERSEtSIDE FOR REQUIRED INSPECTIONS Plumbing
G/ b'
DATE OF APPLICATIONX /".'5 — SIGNATURE OF APPLICANT. . .i '9 .._�/L — Mech. 4,.CO
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA >-
0
Planning
_ C..)
Mobile Home "i
hire iviarsiiaii
Li:
Co. Engineer Other(Specify)
Utilities
TOTAL $ .2°. o
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE ` �� 1 .. I ; o *20.00 O -.
0-V-7 . 5 =8'2 3252x1-
! �' PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL