1982, 04-05 Permit: 82A-2456 Addition F r IVi.IMBER
I � 44-5 APPLICATION/PERMIT PERMIT NUMBNR
0' SPOKANE COUNTY - BUILDING CODES DEPARTMENT � " '��
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
c�q � -/4 LEGAL DESCRIPTION — SEE ATTACHED
1. LOT B O K UBD7IVIe -rJNI1-r�' PARCEL NUMBER/S 7i�4-i — t7 2-c
2. . 93` of ki. . %�o! o[=. 0 3,3(,
OWNER ��� PHONE •
3 ADq SS n.0 922. -4%1 Actual Set Backs in Feet G * * 5(J ( Q
' �� North 'South East (West * 5�l 0 0
CONTRAJTgR ®� I Size of Parcel 71-7
Zone Clcation
a. `1 G4)' � � S l J ,laE.-2-, 0 -.2_,, k v , * 5 4,0 0 6
ADD�tE55 � �/ TYptiCgnst. Occupancy Sprinklered
t(/� /7� ill VIN2.'3 Oyes ❑No 0 Req'd. A * 000 �`
DESIGNER PHONE Valuation Building Area in Sq. Ft. 2 15. 5 2
5. ADDRESS ZIP Main��Floor Upper Floors Garage Area Storage 0 C),-0 5-8 2
13.—Ca L_�
CHANGE OF USE FROM TO a of Decks Finished Basement Unfin. Basement 2 6 4 7 9,
6. —
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ W 0 ALT. e/AD'N. 0 RPL. 0 MVE.
7. OF 0 OTHER
WORK LLL���JJJ BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not R d.
of EXEMPTION
DESCRIBE WORK Enum. Dist.
t� I
Location (Area)
8 100ty`C % � 9(ft
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership lerUSE
CODE
OF
9. UTILITIES �(--," Public 0 Private
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 r4' _
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 INSPEC ,,SNS ,„„ Plumbing
DATE OF APPLICATION T SIGNATURE OF APPLICAN 1 i"..... - / Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: /�
NAME DATE Plan Check
En alth 7/
SEPA o
Planning CD
Fire Marshall Mobile Home
Li'
Conyer 1Other (Specify)
Utilitiestir✓ ' �
/Fr ITE'F Pry k � TOTAL $
Plans Examine
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
g i a n ` y
PERMIT IS NONTRANSFERABLE 0 44 5 8'Z' 2 4 5.6 Z *5 4 0 0 a -
�,.,•I'^•..'-� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
A
11114 • ,2-' OF IJ . 4- id
or_ *i_OGK
. .121006), --ruNif.-(41)
16e-,1061,F,
3 �