1982, 03-22 Permit: 82A-2008 Insert"""DMB " I APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
m' NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456 3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ZYq
1. /od✓/ ®/ -e�� miry. i aOS LEGAL DESCRIPTION -SEE ATTACHED
SJIr ag O_.,.. ._._ea/I I I FEES con IECTEO
9k y en 0 UTILITIES I I I sil ❑Private ❑ Single $
1 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
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 `S SIGNATURE OF APPLICANT Mech.
NAME DATE
PERMIT NUMBER
7 ,1 87.A- r X00
Cd* +2FC0
2 ^.0
R
20 7e
a ..`22—C2
6479.
IAL CONDITIONS: y
V
Plan Check
Ve16'y9�
SERA
�
Mobile Home
Other lSpecifyl
3.
3a6-Y9� aurr 66yv
TOTAL $
y
WHEN BECOMES MACHINE VALIDATED IN THIS SPACE,
THIS BE-22—PEHMIT.
/ PERMIT IS NONTR SFERABLE
A
a 3 r2 2—e2 2 a a a=
-ADDRESS
DATE ISSUED PERMIT NO.
ZIP
Actual Set Backs In Feet
P
.6cGK✓//cX—
south
Nled
East
N
COTRACTOR
PHONE
Size of Parcel
ca
ZoneC "I'll -then
��UVl
�0 -
4'
ADDRESS
ZIP
Type Const.
Occupancy
Sprinkler
I
❑Yes ❑No ❑
DESIGNER
PHONE
valuation
6mumng Area in 5e.
5.
ADDRESS
ZIP
Main Floor Upper Floors
Garage Area
CHANGE OF USE FROM
TO
Area of Decks
Finished
Basement
Unflr
6.
I
No. Baths
No. stores
No. Rooms
No.
TYPE ❑ NEW ❑ ALT,
AD-N.
❑ RPL.
❑ MVE.
7
❑OTHER
CERTIFICATE
Rep'd.
Recd.
ccc11
❑ BLO. ❑ PLM., sy MECH. ❑ M.H. ❑ POOL
WORK
of EXEMPTION
OESC IB RK
Enum. Dist. Location (Area)
SJIr ag O_.,.. ._._ea/I I I FEES con IECTEO
9k y en 0 UTILITIES I I I sil ❑Private ❑ Single $
1 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
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 `S SIGNATURE OF APPLICANT Mech.
NAME DATE
PERMIT NUMBER
7 ,1 87.A- r X00
Cd* +2FC0
2 ^.0
R
20 7e
a ..`22—C2
6479.
IAL CONDITIONS: y
Plan Check
SERA
Mobile Home
Other lSpecifyl
3a6-Y9� aurr 66yv
TOTAL $
��' /
WHEN BECOMES MACHINE VALIDATED IN THIS SPACE,
THIS BE-22—PEHMIT.
/ PERMIT IS NONTR SFERABLE
A
a 3 r2 2—e2 2 a a a=
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE��(�
DATE ISSUED PERMIT NO.
*2000° -
TOTAL