1982, 04-13 Permit: 82-2738 Close PatioPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING (ODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. L1j. (o(Q kik) c�•
2.
BLOCK
SUBDIVISION
LEGAL DESCRIPTION — SEE ATTACHED
OWNER
3.
DRESS• ,
10
CONTRACTOR
`ADDRESS
�.l�eect.)s
1N 6'lc ICS,.
PHONE
(12-(10—(052-0
ZIP
`�c`zo(,o
PARCELNUMBER/S .+,154-1 3 -09I a
Actual Set Backs in Fegt
-OX T -.
North
West
PHONE
ZIP
Size of Parcel
?92.3(
Type Const.
Zone Classification
DESIGNER
/46
5. ADDRESS
PHONE
ZIP
ccupancy
t7�
Sprinklered
Eyes ❑No ❑ Req'd.
�uauun •ftp.'
Main •Flo.r Upper Floors
32_4D ---
Building Area in Sq. Ft.
Garage Area
Storage
6.
CHANGE OF USE FROM /
TYPE
7. OF
WORK
TO
Area of Decks
Finished Basement
Unfin. Basement
ALT. gAD'N. ❑ RPL. ❑ MVE.
❑ BLD. ❑ PLMB. 0 MECH. ❑ M.H. 0 POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
)
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not F....2.."521.
DESCRIBE WORK
Enum. Dist. I Location (Area)
VALUATION
9. !f O'tTQ
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
0of work will be complied with whether specified herein or not. The granting of a permit does not presume
e
ive authority to violate or cancel the provisions of any other state or local law regulating construction or the
formance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
Ownership
Public ❑ Private
USE CODE
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
ans
SEPA Checklist
ildin
ian
SPECIAL CONDITIONS:
4i ;� E2 Siz6S SuSai e `}v
ei) g i't's I,U\-
S' zE 5 t/ila,- C.�' , . S i 1 At
t.
ReAcA
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
Single $
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PERMIT -NUMBER
Z' Z'1 -5V
02* *82.00
*8200 1
273.78
04=134-82'
2 6 47'c
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
27,3.85 *S2,OO 252DATESSUEl�u PERMIT NO. TOTAL