1982, 10-20 Permit: 82A-9889 Barn PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY ,- BII4LDING CODES DEPARTMENT 41301
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
1. T►,t LP -= NN1%*.;8 LAT2-- v * L.I 0 G
N.,t�0' o Y 5 .'zGo` c's�=-[.z.S+'3
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2. 4,c2 't41 ' s't tlVEG2Gt i %'•: X : 7. .i Q X
OWNER PHONE
3. c-'t?,, , ..-t- N.-1,6n1 gze,"1�-"58 0q 944- cS -2 * 0 i
ADDRESS ZIP Actual Set Backs in Feet t;
'V, tto'�2 �`kc.-�uQ CINorth 'South 5' East e>- 1. 'West 4
CONTRACTOR PHONE Size of Parcel Zone Classification 1 j 2 0-8 2
(hf..E tk`7G t tQ g2v..4st.C..'Tu(Z-W(+ - (': 7 9
4' ADDRESS ZIP LIQ nst. Ori-%ancy Oyes ❑No Sprinkl❑ Req'd.
ered
6 AvnE
DESIGNER PHONE Vt./potion Building Area in Sq. Ft.
5. 'Z.34t7 .�7‘
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
---- ``.. S'?Ce
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. ❑ Aim. ❑ RPL. ❑ MVE. i X t
7, OF ❑ OTHER
WORK M/BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Ry'd.
of EXEMPTION
DESCRIBE WORK Enum. Dist. 1 Location (Area) '
$ `I ,gybe, �� (�. z...0 ' FEES COLLECTED
9a VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership USE CODE
r3 - � OF • Public 0 Private Ir
✓ � UTILITIES t`
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 #47 'CC'
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 (/ O f_� SIGNATURE OF APPLICANT =/ �' ! . / - i ch.
SPECIAL APPROVALS SPECIAL CONDITIONS: `-^
NAME DATELSc� Plan Check
Env. Health : -c `-re, t� R
6 ‘-"T W SPC FQrP(LCC. ACs
K .St°� . �- SEPA
n
Planning ,,
Mobile Home w
Fire Marshall i;_
Co. Engineer Other (Specify)
Utilities
TOTAL $47.
Plans Examiner
SOT -1-Z -.61--)
6p WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
B 'ng Te nician PERMIT IS NONTRANSFERABLE 1§0, 22 G -8 2 9 8 8.9 z .*-4.7.0 0 a
1 � ..9.0,1 ? PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL