1982, 10-21 Permit: 82A-9949 Addition, RemodelPLAN NUMBER
ra,2 0779
APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / MOM 4563675
APPLICANT
COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. E. 1327 pm*
LOT BLOCK
U
2. 12. 3
LEGAL DESCRIPTION - SEE ATTACHED
ISION
So14ME172S 49DITicN
PARCELNUMBER/S 2.2.52f4— odlq I
OWNER
3 WE.SLtj LP -0
ADDRESS
. I 321 /074
PHONE
92.2-135'F
ZIP
99ziG
Actual Set Backs in Feet
North Coir ISOuthy
East 2'4
'West
4.
5.
CONTRACTOR
Sn ISG
ADDRESS
S>'GAGE
DESIGNER
PHONE
Size of Rarcel
LIDO X triol
Zone Classificatlon
exit,
ZIP
Type Const.
PHONE
Valuation
fSOcCYPancY
SPrinkleretl
❑ves ❑No ❑Read.
Building Area i Sq. Ft.
moi --744-
ADDRESS
ZIP
Main Floor
UpperFloors
Garage Area
Sty4ge
CHANGE OF USE FROM
6
TO
ALT.
TYPE
7. OF
WORK
❑/NEW
®BLD.
/AD N.
❑ PLMB. ❑ MECH.
❑ RPL.
0 M.H.
❑ MVE.
❑ POOL
❑ OTHER
Area of Decks
No: Ba• ths
Finished Basement
Unfln. Basement
NO. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
sold.
Reed.
Not R9p,d.
sL
DESCRIBE WORK
R. AVfittc6N -co
ALUATI4N
9. oQo
Enum. Dist.
iZc'•• Lo ct k cora u nrt etctor..o r 4 ACA(
Location (Ar al
SOURCE
OF
UTILITIES
GAS
ELECTRIC
WATER
SEWER
g EL'(tc
Ownership
Public 0 Private
USE CODE
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
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 INSPECTION
DATE OF APPLICATION `I�%GL/ — 07� SIGNATURE OF APPLICANT 4
SPECIAL APPROVALS SPECIAL CONDITIONS:}('
NAME DATE T C00.aucarc U A taA W Te
Spartan . 440P
6— 20—rL bit 0A/1'a-re- ; cak1s/6A/
CF,* e toccv/,�finort)
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
FEES COLLECTED
SI gl
Building
Plumbing
Mech.
Pian Check
SEPA
Mobile Home
Other (Specify/
TOTA L
PERMIT
NUMBER
/•9(,{�-
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10'-21-82
DATE ISSUED
9949= *89.002
PERMIT NO. TOTAL
•
0
EXISTING
RESIDENCE
260'
1
'X
(-1
I`ONC. SLAB
DRAIN FIELD
SEPTIC TANK \\
ICOO GALLON
:a.9• G
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f 43"d,
1 •
20'
E rr. -ccs
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12' / .\\ NEWJ A
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W I1 6' GvaRi RIL 1� I
PQoPE; CY LINE
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