1982, 09-13 Permit: 82A-8190 Addition PLAN NUMBER
APPLICATION/PERMITPERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT •-(2, (AO
n e NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
1`�// APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
NI
JOB ADDRESS
LEGAL DESCRIPTION — SEE ATTACHED - 2 ,,
1. S .13c:>1 �J ild-t..)wT
*
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * 2 0 0
2. 10 26' 12.s?c.."T Cd G u 1•=GRst-c y—a-Pc-45
OWNER PHONE " * C ✓ F.
3. 1N3N e•-.v-- Ut..e= C1'zz-- Vic C3 Zo,44-- 1 t
ADDRESS ZIP Actual Set Backs in Feet
S t"" c.\ LAJ0.4.-1.11x-( -1cAZdG North ESC Vjrt.4 out East'West (.;2- 1 3- 2
CONTRACTOR PHONE Size of Parcel Zone Classification
--e)4C IA. ENrEcz?g.csims Ci a -Id.-3$ c o>. ISO 444.4-,v. ,- 6 a 7 0
4. ADDRESS ZIP /� -Tyyppe�C�onst. Occu ancY Sprinklered
N . tG,22- v,-1 •Lc is C\q'2�d6 . .N lia-15fr&`1 ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE Valuatio74n Building
Area in
in Sq. Ft.
2.
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
o S '�"3U
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,,_,// No. Baths No. Stories No. Rooms No. of Dwellings
L'�1 f�EW ❑ ALT. AD'N. ❑ RPL. ❑ MVE. Z 1.
7, OF ,/ ❑ OTHER `CERTIFICATE Req'd. Rec'd. Notq'd.
WORK NJ BLD. 1=1 PLMB. ❑ MECH. ❑ M.H. 1=1 POOL
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) T
�/� 'Td „ .t,c i..)L6 I FEES COLLECTED
8 l +Tt
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership /USE CODE
OF t��- IDPublic Private U7J
9. UTILITIES �
/ Single $
I hereby c:rtify 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 8Z-c
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 / - / /:""g.2 i(
SIGNATURE OF APPLICAN Wat/AZa���� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
1�C7r 9-or-ti '. CO ON 9.'in$A� kea....9c-N DE�c . A?P�v' =
SEPA 7,
rj
Planning r '..
- w
Mobile Home
Fire Marshall
Co. Engineer Other (Specify)
Utilities Q 1752-4TOTAL $82'
P s Examiner
�' WHEN MACHINE VALIDATED IN THIS SPACE,
i•J i*cklis THIS BECOMES A PERMIT.
BuildingT-chnician PERMIT IS NONTRANSFERABLE �;9'-j ,'� -8 2 g 1 9,0 Z * 8 20 0-i-
ll-
� " / PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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