1982, 07-16 Permit: 82A-6087 ResidencePLAN NUMBER •;
82.6, -
JOB ADDRESS
1 LOT
2.4
OWNER
3. frkiv& .0
ADDRESS
BLOCK
4.
5.
6.
APPLICATION/PERMIT
SPOKANE COUNTY 7.- 9Uit.DING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
F i2.T*k
(SUBDIVISION
7,AiI..t t
LEGAL DESCRIPTION - SEE ATTACHED
PHONE
Y�J . ` 10 Cd'1 i2A}r\1(4 6w
CONTRACTOR
04 6
ADDRESS
DESIGNER
ADDRESS
/ i .
ZIP 'j
CR6k 049-
PHONE
PARCEL NUMBER/S
—91-0,30%-- '21 –A t 2S
Actual Set Backs in Feet
North 4 'South
ZI P
Size of Parcel
cok i14-moiSi Iv 44-6 EA nit
PHONE
Type Const.
-X� N
Vijoation
East t � (West
Zone Classification
Occupancy
CHANGE OF USE FROM
7.
TYPE
OF
WORK
ZIP
Main Floor
123
Upper Floors
Sprinklered
❑Yes ❑No ❑ Req'd.
Building Area in Sq. Ft.
111
'
f]�0,NEW ❑ ALT.
L7 BLD. ❑ PLMB.
DESCRIBE WORK
TO
Area of Decks
Garage Area
48k
Finished Basement
Storage
Unfin. Basement
❑ AD'N.
El MECH.
❑ RPL.
❑ M.H.
❑ MVE.
❑ POOL
0 OTHER
No. Baths
No. Stories
No. Rooms
No. of Dwellings
CERTIFICATE
of EXEMPTION
Req'd.
8. �aNIaLE
Rec'd.
Not Req'd.
FAN\ ? E S% oc►LI
VALUATION SOURCE
OF
9742 3 UTILITIES
GAS
G A2titac ik-;ti rt6&
ELECTRIC
WATER
SEWER
Enum. Dist.
Ownership
Public 0 Private l�A
ILocation (Area)
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 INSPECTIONS
DATE OF APPLICATIOfW'_�f SIGNATURE OF APPLICANT
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Health
Pla
nnin
Fire Marshall
Plans Examiner
C.A.)
SEPA Checklist
Building Technician
9# c9,1
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANC:F
FEES COLLECTED
Single $
Building 26\ . )
Plumbing
ech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL
$�tt .c
PERMIT NUMBER
02* *29100
*291006
R *000
608.62
07-16-82
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 7 1.6 -'8 2
rIA-rc iccl mrr.
608,72 *291,00
O J -
IL 1.-
FII F (:f1PY