1982, 06-08 Permit: 82A-4668 SinkPL"" NUMBER APPLICATION/PERMIT PERMIT NUMBER
m SPOKANE COUNTY - BUILDING CODES DEPARTMENT��
/ V NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / 05091 056-36]5
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
kr's I2 i I— I ,�. -fFl-
X06 ADDRESS r LEGAL DESCRIPTION - SEE ATTACHED
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55
3
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Il •
ZIP
gc[ual s¢I Sacks 'm Feet
rvor h South
East lWest
No[ Rep'p.
CONTRqTOR
Py'ON
SlzB of Parcel
Zone Classlflcatlon
5Type
EESCRInF WORK,('
1.
Came. OlsL
4'
q0 RE55
8. ll �(-
Const
Occupancy
econklere0
VgWATION SOVRCE Gqs ELECTRIC WATER SEWER OwnersMp USE CODE
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$InQ¢ $
ET's,❑No ❑ Reg'e.
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisions included
DESIGNER
PHONE
Valuation
BUII61ng Area In 59. Ft.
5'
Building
to give authority to violate or cancel the provisions of any other state or local law regulating construction or the
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,
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
ADDRESS
ZIP
Main Floor
I Upper Floors I
Garage Area
Storage
CHANGE OF VSE FROM
TO
NAME DATE
Area of Decks
Finished
Basement
Unlln. Encomium
6.
Ene. Ica
I
I
Q71
TYPE ryEW ❑ q T. ❑ PON. ❑RPL. 11MVE.
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CERTIFICATE
Rep'0.
Rec'6.
No[ Rep'p.
O .1-G.LLLYYYPLMB. ❑ MECH. ❑ M.H. ElPOOL
WORK
of EXEMPTION
EESCRInF WORK,('
1.
Came. OlsL
Location (Area)
FE£SCOLLECT£D
8. ll �(-
VgWATION SOVRCE Gqs ELECTRIC WATER SEWER OwnersMp USE CODE
9. VTI CITIES PpbllC OPnva[e ❑
I I
$InQ¢ $
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
_
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
0
,
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS
Plumbing
(,- 7-Q!]Z
DATE OF APPLICATION SIGNATURE OF APPLICA
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
I N -r. siiI,I
Ene. Ica
SEPA
anning
Mobil¢ Home
Other lSpepffy)
Fire Mersheu
L. Englocer
�e
ut,ty,00
TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED
THIS BECOMESA PERMIT.
IN THIS SPACE,
sEPH checkua
PERMIT IS NONTRANSFERABLE
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a
4 6 Q 8 z 9.0 0 a IJ- -
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
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DATE
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