1982, 10-13 Permit: 82A-9517 Residence PLAN NUMBER
1)----•- .S.-2 APPLICATION/PER I PERMIT NUMBER
e2.A -c�i-1
SPOKANE COUNTY — P,UILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
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APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS O G * * 2 G U O
1. 2 vigkitnYk" LEGAL DESCRIPTION - SEE ATTACHED G * * G Q L.Q Q
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. A`5 3 i-+ALL l:cv..) c.S;A-ce * 2 2.U 0 u
OWNER . 1 PHONE * 222: QQY
3. rAMii..v Cbti :12u.C._.—cLC,n.) i 1N(:_, 4 Ct-ZZLO 2:754-3- 0703 * 5
ADDRESS /ZIP Actual Set Backs in Feet 0. J
(*.NI CO�Ll� W‘A-1.-TGi�0use Aclace North Z.c'' ISouth ZOI East 1dCD' (West I C 5 1' '--__'-.=:-
/
CONTRACTOR PHONE Size of Parcel Zone Classification
4.
Sock tR.Q.EGl,+1 .•=!
2 $13?) '5►NGE.
t.. , FM1v'1Ati.- i 1 .. 1 3-8 2
ADDRESS ZIP Type Const. Occupancy Sprinklered
f.%�i'VI Yiq 5 ❑Yes ❑No 0 Req'd. 6 Q 7 9•
DESIGNER PHONE V.4`'luuaation r� Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
a - -_
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. ►2D LA vo c_. S 88
TYPENo.Baths No. Stories No Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. 'Z ` 4I
7. OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Not ct,t'd.
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL y
of EXEMPTION
DESCRIBE�� WORK Enum, Dist. I Location (Area) 1
8• �.:�i:.JVIAR,C—CLON Of v(0c.NC._f5 — >U�. CS ial"57x8 FEES COLLECTED
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VALUATION
SOURCE GAS ELECTRIC WATER SEWC1J
R Ownership /USE CODE
9. UTILOITIF ES 1// Public 0 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 * 'Zt''' _
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 construction or the
performance of construction.SEE REVERSE-SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATIO
SIGNATURE OF APPLICANT3(g (1Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: rCX�TIfrJI�- VdY
w �1DpTtc.- t S
€KTI/J(4
NAME DATE Plan Check
Env. Health
LE 1atCL9VC) 101or,Ill SEPA
Planning Or)
Mobile Home w
Fire Marshall
1.
Co. EngineerOther (Specify)
11\10.C. (REci 0
Utilities
TOTAL $ZZ2-,ll2°
Plans Examiner
0I C2,€01 0 WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B din lchni�aa PERMIT IS NONTRANSFERABLE 1 0 ,�'l`3g-8 2 9 517 z' '*2 2 2;0 a -
V��'V V '"!7 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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Coeur d'Alene Trusses, l nc.
HWY.95 NORTH • RT.5,PINEGROVE PARK COEUR D'ALENE,IDAHO 83814 • (208)667.6481
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