1982, 10-26 Permit: 82B-198 Residence (PLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
I
,703 `2-6 SPOKANE COUNTY = EgUI'tDING CODES DEPARTMENT ' '7'g /9r
V - NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS ,.= ;;
1. �. ( 3 I 7 LEGAL DESCRIPTION — SEE ATTACHED ,
LOT BL C SUBDIVIS N PARCEL NUMBER/S
2. � 0J5 AC0191 -1-CONI 2--; - 450 K
irgOWNERtck I l .
riN, 2
ADDRESSi,�� ' ZIP Actual Set Backs in Feet -�/�� — 4'
►v . 4-1-04- si- v. ✓ p North (South East -6 (West
CONTRACT R PHONE Size of Parcel Zone Clas ification tl
a. -A�6- 138—,23-51/ g?c I2-p- -5j'�J t ,
ADDRESS ZIP Ty.q/e onst. Occupancy Sp inklered
/14u. 2Z9C} V ?.. Elves ❑No ❑ Req'd.
DESIGNER PHONE Valuation� Building Area in Sq. Ft.
��'!//
5. ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Areaecks Finished Basement Unfin. Easement
6. 3o LJ G, �
TYPE No. Baths No. Stories No. Rooms No. odd Dwellings
NEW ❑ ALT. ❑ AD'N. El RPL. 0 MVE.
7. OF 0 OTHER
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. Not R 'd.
of EXEMPTION
DESCRIBE WiOR0K�.�, Enum. Dist. I Location (Area) ' FEES COLLECTED
8. VALUATION SOURCE GAS ELECTRIC WATER SEWE
Ownership /USE CODE
OF
9. UTILITIES I& Public 0 Private YJ 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 �52/
type of work will be complied with whether specified herein or not. The granting o . 'ermit does no presume
to give authority to violate or cancel the provisions of any other state or local law -•g ating constr o • oe
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
DATE OF APPLICATION SIGNATURE OF APPLICANT 1 =i Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ,�{{ // Plan Check
Env. alth /,..� CiC�ry� VI�6Ci� G zZiy, AA 1
�JJ ///� ` `IVI // SEPA >-
P anning
CD
a.
_ v
Fire Marshall Mobile Home J
Li
Co. ngi r / Other (Specify)
Utilities 20/26
TOTAL $ 7i
Plans Examiner '
/ ",O e> /) 'Ea WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA hecklisy THIS BECOMES A PERMIT.
Ala
An7c1- li
- n PERMIT IS NONTRANSFERABLE L 1 9,8 z * 2 5 �•0
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATEI1AU u - PERMIT NO. TOTAL
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DEAN GREER
W.4404 SHAWNEE
. SPOKANE.WA 99208
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