1982, 06-10 Permit: 82A-4781 Siding, Soffit, Fascia PLAN NUMBER APPLICATI'"'N/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 52A — 4-75/
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
V APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. IAV U 'II�J, 1 h��r LEGAL DESCRIPTION — SEE ATTACHED
LOT�JILO CK` SUBDIVISION PARCEL NUMBER/S 0 2 * * 6 1.O O
2. 7 Q /� 0 ��' � C2g61-- 4 7 8 0 t�
�(}- ' /
OWNER PHONE
3. Clio rt r)C e Craw) 9,) 6-644.). 0 6— 1 0—8 2
ADDRESS ZIPActual Set Backs in Feet 7. 6 4 7.9,
ki c NO 5 I A), /h u r 9 g,2-0 6 North (SouthEast (West
CONTRACTOR PHONE Size of Parcel Zone Classification
4. A r. LrCt/ f3 rc+fu r<, ion-f-roc fo rs 9,ie- 6 g/e,
ADDRESS , ZIPType/ Type Const. Occupancy Sprinklered
Al , 3J02 Ar nnr /eoac( Ci 7/� Lek, Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
oit
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
❑ NEW ❑ ALT. El AD'N. 0 RPL. 0 MVE.
7. OF X.OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. 0 POOL � (.�(✓ CERTIFICATE
of EXEMPTION
CRIBE WORK. Enum.Dist. I Location (Area) 1
D
8- 5iP Q,t �CitLA2l.; 1 6( f d -7 -tc -ckw I FEES COLLECTED
VALUATION SOURCE / GAS c)c,, ELECTRIC WATER SEWER
Ownership USE CODE
C�_
9. .�C,)(.>(1 UTIITIES Public El Private El
Single $ (1 O�
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 SIGNATURE OF APPLICANT I / /A Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA
2
Planning CJ
,)
Mobile Home ',i
Fire Marshall --J
1.
Co. Engineer Other(Specify)
Utilities • p
TOTAL $ C^
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
-uildin• Tech iC PERMIT IS NONTRANSFERABI 06: 1. 0- _',2 2{ 4 7 8,1 z '\6 1,0 0 d FJ-
,�/ .
r PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL