1982, 07-08 Permit: 82A-5825 Addition (PLAN NUMBER ,I APPLICATION/PERMIT
PERMIIT,,N MBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT '" 59A
Cl NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOBAD�RESS02 * * 4700
1. I Ijc-r - LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK 1SUBDIVI'SUBDIVISION, , PARCEL NUMBER/S * G 7 Q
PHO
s. OW E -� (� N IVI E 3 3 1 �� 5 2. 3
ADDRESS 5Li Actual Set Backs in Feeti- yy.�.,, 07- 0$x-82
CONTRACT R North 'South P ✓ East 'West
A g,
,P77-c9
ONE Size of Parcelret2,50 t- Classification 6 4 7 9,
4'
ADDRESS
ZIP ZIP TypYq/C nst. Occupancy Sprinklered
V g:: --5 Dyes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Pr ea Ft.
5. ADDRESS ZIP Mai[nFloor Upper Floors Garage Area
Storage —
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW 0 ALT. 0 AD'N. ❑ RPL. 0 MVE.
7. OF ❑ OTHER
WORK 0 113LD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not eq'd.
of EXEMPTION
DESCRIBE WORK,, /� ��`` Enum. Dist. Location (Area)
8. 1i ,1 0 Ce1 1 IQK 5>,Z—CS ) FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SWEIROF Ownership SE CODE
9. UTILITIES Public ❑Private
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Single $
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this AlF
-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 INSPECTIONS Plumbing
�
DATE OF APPLICATION / O RC1 -L" SIGNATURE OF APPLICAN ei-2 -1--li---c— / ' ech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env He h
7,
ning 3 SEPA C
C
C
Fire Marshall Mobile Home u.
-
U
Co. Engineer
Other(Specify)
Utilities
ns Examine
TOTAL $�
-�
WHEN MACHINE VALIDATED IN THIS SPACE,
SEP ecklist THIS BECOMES A PERMIT.
ll
emu lain• n• .nPERMIT IS NONTRANSFERABLE 0,7 '8'-.S'2 58 2 5 z * 4 7 Q Q a -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
mo o' e�P�k \0P-14
' 4~
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