1982, 09-02 Permit: 82A-7782 Residence PLAN NUMBERMIT NUMBER
��g � APPLICATION/PE 1 PERs-,46, _ -77e-,z_-
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKARI-2:WASfir1NGTON 99260 / (509) 456-3675 i
(k/ APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS 02 * * 20[x, 00 i
LEGAL DESCRIPTION — SEE ATTACHED
1 LOT BLOC V SU DIVISION Ok E-L c ,c / PARCEL NUMBER/S * L 0 A, O O
2. A * 0, 00
OWNER PHONE
3. w C 1.. . c. t{5 612-6-- - 1--3--Cto zc. 7 7 a.5
ADDRESS �tQ� North (South ZIP Actual Set Backs in F et ,o 9—0 1 -8 2
EL - c,, ,>!,S '"'�'21Ey�.J'- �•-� k,i�TL
East (West
CONTRACTOR PHONE Size^off f�Parcel ZoneClassification r6 4 7 9:
‘lik -
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
-,. C , Oyes ❑No 0 Req'd.
DESIGNERiPHONE gluationBuilding Area in Sq. Ft. 0 2 * * 6 0,0 0
7,co3 - ir7(.. * 66.00
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. — 7781 .
TYPENo. Baths No. Stories No.
ern
No. of Dwellings 0 9-0 2-8 2
NEW 0 ALT. 0 AD'N. ❑ RPL. ❑ MVE. eCJ 1
7. OF 1 ❑ OTHER CERTIFICATE Req'd. Rec'd. Not Req'd. 73. 6 4 7 9,
WORK e BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK E• -'2Pt.? Enum. Dist. I Location (Area)
FEES COLLECTED
8. , :>`r2.c-tc,-e =De►V:_. dv•-) S. t c<nVc., 'c6ti i,A)bira;tors-) 1
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership ,_,//USE CODE
OF
9. UTILITIES
C '�«-- Public ❑Private M
/ 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 *24)4'
type of work will be complied with whether specified herein or not. The granting of a permit does not presume .4, foO. ''
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the 2. 4-,•,:..i2>
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATIO ' -.dilt>/ - SIGNATURE OF APPLICA sem— , 1,..i,_. Mech.
SPECIAL APPROVALS/ SPECIAL CONDITIONS:
NAME DATE Plan Check
9e
Env. Health
T; p, SEPA 2
.la n:
Planning OCI
Mobile Home ''•"
Fire Marshall "J
IZ
Co. Engineer Other(Specify)
Utilities TOTAL $V41-414 .--
"4"- .--
Plans Examiner +
C ,'0:,00,‘-e(1 -/- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA ChecklistTHIS BECOMES A PERMIT.
.
`���Illi echnician �► PERMIT IS NONTRANSFERABLE 0'9,0 a-8 2 7 7 8.2 z . 2.6 4 0 OR 1,'
�� , !Cni PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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34643-9076 dLACK 80—UI09 7,0021/537 ,-.1.c.,751 L r'ISHEd D2/22/30 iv U,4PD
—� ""P• FIRE IMPROV=0 U.dIs1PRc)VE', ifA:L LA.I'� I!'t'I. TOTAL
—o 10ACRES ACRES VALJF ACRES V':L.:F AC?1ES '!ALUE VALu= VALUF 71 EX CODE
7.52 5010 .00 /.S? 5010 6010 31 212
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1 7.52 hJ I') .37 /.S' R31 ) '5010 212
I ,I /.52 5010 .0') 4'J I'' 6u I 0
\ j 34-1_h-44 PTN Or, iFI/1 Or;
SWI/4 fAt'i 7.EG At i'" COR Or ;F': .341 f ! IL,/..2r1' pH C')'IT 25-130
7....7 4 q5951-:T TO TRUE P)B T-! II302Ff T!: .'I50,=T /L i"' ':4931,1- to 1.335 T4 '
3498Ff TA. E1601-'1. TO 3302rT AA 10 '!LY L'+ )r :'.ILESLEY E 1 7435FT
I; ;d/L TO PUB EXC RD
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