1982, 10-20 Permit: 82A-8976 AdditionPLAN NUMBER
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
1 APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
E . b2 -4t o 4i -
LEGAL DESCRIPTION — SEE ATTACHED
LOT
2.
BLOCK
SUBDIVISION
OWNER
3 ZNCN
ADDRESS
CONTRACTOR
4 ' A -Y► tE
PHONE
azo -g-zte
ZI P
a4-2,-LCci
PHONE
PARCEL NUMBER/S CRi ft:rtAliJi- bCJL c N, ZD(' OF
W ibx- I✓KC. 6.0.3'
2Z`54Z--6ci o�-
Actual Set Backs in Feet Ckr 1 aV
North 'South East
Size of Parcel
615‘Z -LO‘
1 West
Zone Classification
AG 2 �C,th.Lxur4.
ADDRESS
�Aifl/LL�
DESIGNER
5. ADDRESS
ZI P
TI,Const.
Occupancy
Sprinklered
Elves ❑No ❑ Req'd.
PHONE
ZIP
Va4iation I Building Area Sq. Ft.
.#4(e0-(1JI
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
7. OF
WORK
21 EW ❑ ALT. 'AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
BLD. Cl PLMB. ❑ MECH. ❑ M.H. ❑ POOL
No. Baths
No. Stories
1
No.iRooms
No. of Dwellings ellings
CERTIFICATE
of EXEMPTION
Req'd.
Rec'd.
Not Req'd.
DESCRIBE WORK
8.Jkpi) t'. (C eU
VALUATION
9.
–TAD
SOURCE
OF
UTILITIES
�t > 110E6xE X Sj)
WATER
GAS
ELECTRIC
Enum. Dist.
ILocation (Area)
SEWER
CPT'l(...
Ownership USE CODE
Public ❑ Private
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
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
DATE OF APPLICATIO
SPECIAL APPROVALS
NAME DATE
Env. Health
t\)c t
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
c+SE'A��cklist
Building Technici n
7,7
SIGNATURE OF APPLICANT
SPECIAL CONDITIONS:
e(n�G
PERMIT IS NONTRANSFERABLE
FEES COLLECTED
Single $
Building 1*
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
PERMIT NUMBER
S -Z A - g0,7k,
02* *2000
*20.00'6
A *0.00 3
987.52
10-20-82
2 6,479,
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-20-82
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
987,bZ
PERMIT NO.
* 2 0. 0 0 -
TOTAL
i
4
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