1982, 06-21 Permit: 82A-5182 Windows PLAN NUMBER APPLICATION/PERMIT _
PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT 8
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
0.) APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. - LC7510 '—f- i LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION I PARCEL NUMBER/S 2_05741 \Q 1'2-
2. 2 I d9pe• ijp Vr . LJv f2- ''�PHONEu�j a Yv
3. OWNER,65 Cl LI NJ 0C 'e\ 0IJ /2V 214-3
ADDRESS i !!! IP Actual Set Backs in Feet r ,I 1 I 0 2 2 0 0 0
r - I O l 7 C-�OtCJ North South East West
CONTRACTOR P ONE Size of Parcel Zone Classification * 2 0. 0 0
1_5
4'
ADD R SS �� I Z //�� Ty7tC nst. Occupancy Sprinklered * C.0 G
- I 1/0
, CidS'(" F-0 - vvV p "j Dyes ❑No 0 Req'd. 51 & 1
DESIGNER PHONE Valuation Bunging Area in Sq. Ft
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage b:4 7 9,
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF WORK 0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL ❑ OTHER CERTIFICATE - Req'd. Rec'd. Not eq'd.
of EXEMPTION
DESCRIBE WORK' 0Q ` Enum. Dist. I Location (Area) T
8 /L'y`'"l It/,`JI Id 1WS (5- --15---r-
�( I� ') FEES COLLECTED
VALUATIQN SOURCE GAS ELECTRIC WATER SEWER
C) Ownership SE CODE
9. UTI TI ES Public CI 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 Building 0
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__' Z F 9�, SIGNATURE OF APPLICANT 4.9rZ 2Ve-- Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE SIG y((z2 _ 01 v C �7 4'vCPOPlan Check
Env. Health �
SEPA n..
Planning
w
Fire Marshall Mobile Home a
Co. Engineer Other(Specify)
Utilities
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building - hnici PERMIT IS NONTRANSFERABLE .
21 -8 25'1 8.2 z * 2 0.0 0 a
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL