1982, 12-07 Permit: 82B-1680 Damper PLAN NUMBER APPLICATION/PERMITf/ PERMIT NUMBER
�(j^� 0SPOKANE COUNTY — BUILDING CODES DEPARTMENT // Y�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB A QL1,8 ESS
1.
/�
/ 0 6 a S._b LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S
2.
3. °' --1�� ..i+.-O-6_ L—4674,
ADDRESS (; ZIP Actual Set Backs in Feet
E7'' 1 b 4. 6`/(T' 4' �'�^�., North 'SouthEast IWest
CO�''TRA�C�T"OR HONE Size of Parcel Zone Classification
4.
ZIP (/�7 Type Const. Occupancy Sprinklered * 1 /1 0 0
AD(rSi a 7/0 6OL /6 Oyes ❑No ❑ Req'd. (: {
DESIGNER PHONE Valuation Building Area in Sq. Ft. * _:
5. 1 6 7.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. - Ci 9
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
❑ NEW LI ALT. ❑ AD'N. 0 RPL. ❑ MVE.
7. OF ❑ OTHER
WORK ❑ BLD. ❑ PLMB. 'MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION
DESCRIBRK Enum. Dist. I Location (Area) T FEES COLLECTED
8. VALUATION (SSOU/,(RRaCCEEE GAS ELECTRIC WATER SEWER
Ownership USE CODE
OF
9. UTILITIES Public 0 Private 0 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
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 INSPECTIONS Plumbing
DATE OF APPLICATION M" 6 - g-. ..... SIGNATURE OF APPLICANTL.61 Mech. /9' M 6
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEPA ;-"*"..-1-
PlanningO
cy
— w
Fire Marshall Mobile Home _1
U-
Co. Engineer Other (Specify)
Utilities 1_14A.D‘a TOTAL Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
..--- m`'�stdin—g T h is PERMIT IS NONTRANSFERABLE 12-07 -8'2 16 8, 0 z * 14.0 0° g _
^� . PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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