1983, 05-27 Permit: 83A-4556 Siding PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBE
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
(.././'
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
7 V� LEGAL DESCRIPTION — SEE ATTACHED
1 LOT BLOCK OSUBDIVISION PARCEL NUMBER/S
2. 7 4-2 .—. —d5
OWNER PHONE
3 ADDRESS ZIP�y / Actual Set Backs in Feet
N . c250 l5 7 t/, 60.20(, North 'South East (West
CO RACTOR PHONE Size of Parcel Zone Classification
MC Vui a rt)1-h.Lr_ gas'-`-ingb
4' AOIDRESS Type Const. Occupancy Sprinklered
/vd 31o ft 7ant Road
I14/% 10 1:1 Yes ❑No 0 Req'd.eq'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.
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE ❑ NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7, OF OTHER -
❑ BLD. ❑ PLMB. 0 MECH. 0 M.H. Req'd. Rec'd. Not Req'd.
WORK
i. ' ,. of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area) T
8. �� �' �� I FEES COLLECTED
VALUAT pl SOURCE S ELECTRIC WATER SEWER Ownership USE CODE
9, r j Cr— UTILOITI ES 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 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 APPLICATION 5 gots 3 SIGNATURE OF APPLICANT �e / / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
›--
SEPA
SEPA ^-
Planning
ci
- LAJ
Mobile Home -1
Fire Marshall - ''
Co. Engineer Other (Specify)
Utilities Cp
0
TOTAL $ L
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOME/'S A](PE+ZRMIT. A 5•L z * O,O O a
�
11Br.ii Te- ti PERMIT IS NONTRANSFERABLE
+ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL