1982, 10-19 Permit: 82A-9788 Residence [PLAN NUMBER APPLICATION/PERMIT
7f g 9 ./=-'-'7' PERMIT NUMBER l
FJO(v/ SPOKANE COUNTY BU LD N CODES DEPARTMENT 0 - eV P3E 1
0/� NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
• / APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. 1\11,coal Vlfact tloi A i -$ LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S ' ` - t s G O
2. Z I ALY..i A.-5-vSL 13 3,,_sz. 6 ;� 0;,
OWNER f PHONE
3. --�ARe '2C i . % ku-tPvee%-a �d�4.-lc t tl54..3 _4&Z r is i
ADDRESS ZIP Actual Set Backs in Feet - "? F, :
-a>.h r4 \off- Ct4 .N44 North (5i (South 131 East ,�Tt (West
CONTRACTOR PHONE Size of Parcel Zone Classification 1 U 1 1 - 8 2
4. �'' K S.64c,t FE1in+r L y 6 J- ' 0
ADDRESS ZIP Type Const. Occupancy Sprinklered
i-vt Z/IJ z'5iiv1-1 Oyes ❑No ❑ Req'd.
DESIGNER PHONE Va ation Building Area in Sq. Ft.
o iT)4 i
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
ice" — 441
-
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. Z?(r G EAP-E t4 0
TYPE �EW ❑ ALT. ❑ AD'N. 0 RPL. ❑ MVE. No.Baths No.,Stories No. Rooms No. ofDwellings
7. OF ❑ OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not Re d.
of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
°
8. i Nei LE" 'CIA -f 24E- t.OENGC Ci e.ptc,4 #moo FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER
OF Ownership USE CODE
9. UTILITIES Public 0 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
00
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPEC,L•NS Plumbing
DATE OF APPLICATION I SIGNATURE OF APPLICAN i.://.�< -ice / %_. - , __ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ,�o.� _ Plan Check
.. Env, ealth
Pe-I41/vim �.�'"7"-C, `}r Z J .,c2/%/ Z
Planning SEPA
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Fire Marshall Mobile Home - W
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Co. Engineer / JJJ
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X/P 82- Other (Specify)
Utilities ���// cy
Plans Examiner
TOTAL $ ��,o�`_
b SE
L` de� j� /0 " 4 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
ildin chnician PERMIT IS NONTRANSFERABLE
10 '= 9 -82 978, 82 *362, 002 III, -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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