1982, 06-18 Permit: 82A-5085 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NU,
SPOKANE COUNTY - BUILDING CODES DEPARTMENT 4 5o �
,
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
(ki APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 T 470l 0 10-T K LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S LcYr 4 4, E"/ . 'f-G't'5 " ...4c.Z 1
2. "lTt`�1r�NS +4-pt iTra� 6 1.0 0
OWNER PHONE •k 6 1 0 0 s.
3. E.ail4— 1 . —PLA C...ek--C W -- 2.453-3' `''S
ADDRESS ZIP Actual Set Backs in Feet C `' c
1✓ . £DO L•C� ZIT t-4, ">,ZIy"��2UCd North 'South--/c5 ' East 'West�'' ' 0t 5 t�. /I
v V 4 '
CONTRACTOR PHONE Size of Parcel Zone Classification
4: 4Z%-441L 7 J)C' V-3 .--- AT AG. ',i,."e.c.A ZR'SAN 0 6— 1 3—8 2
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
11e1 Aa' 'a_i ❑Yes ❑No 0 Req'd. _ 6:0 7 G•
DESIGNER PHONE Valua (-5��, Building1Area^in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
1 go __--
.—
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. — , _ _
_ No.Baths No. Stories No. Rooms No. of Dwellings
TYPE /
L�1 NEW 0 ALT. "AD'N. 0 RPL. 0 MVE. 1 % i
7. OF ,_,/ ❑ OTHER
WORK ISG BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE Req'd. Rec'd. Not Rep'd.
of EXEMPTION 1/
DESCRIBE WORK Enum. Dist. !Location (Area) f
8. 4"r-rot... 'Td 1Z ':' -rvc_; . ( N O fes ) I FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER OwnershipUSE CODE
OF
�S'
9. UTILITIES . Clc_ Public 0 Private
Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included Id _
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 regulati construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS ��/� / Plumbing
�� p �Ae f/
DATE OF APPLICATiefC.' �,4i�—f' SIGNATURE OF APPLICAN ✓rI/J4-A.. '"'' Mach.
SPECIAL APPROVAL SPECIAL CONDITIONS:
NAME DATE Plan Check
Env./J�Jh `�
`/ (/�/ SEPA
a
Planning 0
Mobile Home L"
Fire Marshall -i
4.
Co. Engineer Other (Specify)
,r
Utilities Ay, 011
TOTAL $
Pla xaminer
,G‘. C/ WHEN MACHINE VALIDATED IN THIS SPACE,
heclO st THIS BECOMES A PERMIT.
Building Te hni is PERMIT IS NONTRANSFERABLE 06+^2'8' c8 2
•
508.52 * 6100api_
J PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
us