1982, 10-28 Permit: 82B-295 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT `
C / NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
s
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
C
JOB.A DRESS '1° LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUM BER/S-• 3® op L-f
2. . -r5i\-010Ill° . / r 7 p
PHONE • 351 ` ` r (.O /i .
3. Dw�Er i�pi , 11J� slI IJ G. ?.6-772 i �4 5�- - 0� 0.7 -
ADD ESS � j P Actual Set Backs in Feet _. ' '>
25 P b North 2''✓ 'South East (West
CONTRARF3, H NE Size of pa e Zon Classification �� i "
4' ADDRESS �J ZIP Typer_or�st. O cySpr-iin•-klered
\1j/IF��It
Dyes ❑No El Req'd.
DESIGNER PHONE Valu�op Building AreaSq. Ft.
5. -4.-. 36S 7t-cp
ADDRESS ZIP Main loor Upper Floors Garagrea Storage —
CHANGE OF USE FROM TO
e Decks Finished Basement Unn. assement
6. 80 ( f'tjcv. _
TYPE Er.... No.B s o. S�jories No.,Rooms No. of Dwellings
N ❑ ALT. ❑ AD'N. ❑ RPL. 0 MVE. t ',1f _ l
7. OF ❑ OTHER
WORK BLD. ❑ PLMB. ❑ MECH. D M.H. 0 POOL CERTIFICATE Req'd. Recd. NotR�q'a.
of EXEMPTION /✓
DESCRIBEWORK Enum.Dist. I Location (Area)
8. �� ri A1� K j 120o i FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership VSE CODE
OF
9. UTILITIES Public 0 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
type of work will be complied wi whether specified herein or not. The granting of a permit does not • e
to give authority to violate or . cel the provisions of any other state or local law r•.ulati g constru on or the
performance of construction REVERSE SIDE FOR REQUIRED INSPECT •N - � �' Plumbing
DATE OF APPLICATI a .e,J /` L./ SIGNATURE OF APPLICANT � f" Mech.
SPECIAL APPR• ALyb SPECIAL CONDITIONS:
NAME DAT ,,, Plan Check
En Heath
V_ I/L, I° 74, SEPA
Planning 4 CZ 4 \Q VbV_�1 S J (�, (� �- — i)
M(,�,�L,LS �.i4 ► &A� De-AK- ile"A Mobile Home ',�
Fire MarshallC�-{���o��"v
� . Q.erm
pEn ✓e1� I/z771
Other(Specify)
utilities _
�
TOTAL $
Plans EarKa
..n inet�sr.„ WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
- .•• Te PERMIT IS NONTRANSFERABLE 1a'0- 2`& �''8 2 2 9.5 °z *2 4 6. 0 0 a
- _ PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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