1982, 05-19 Permit: 82A-3923 Residence PLAN NUMBER APPLICATION/PERMIT PERMI? NUMBER
1'2-'7 10/ SPOKANE COUNTY — WILDING CODES DEPARTMENT 81 301'2...3
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED C, * * 7 6 0 0
1. E.. 11".5tE: ia..T"
LOT BLOCK SUBDIVISION
PARCEL NUMBER/S 00
02 *��� * 2%5 6 6..0 0 n
2. , A► hJ iAt Ar,i7 Car)ra/v
OWNER PHONE
1-A+P .o t..ia6ter:. 4€ fnsoF 21 - ci►"I.G 3920
3.
ADDRESS ZIP Actual Set Backs in Feet 0 5- 1 9-8 2
LA.). e.1‹.. 23.4.a.. -‘).G..,.i eV:v North Ai 'South 100. East tOi 'West .3�` 647 »
CONTRACTOR PHONE Size of Parcel Zone Classification
Skr+ne, 5\ x ►14-.' s..�ca Lc_ f a,ti..-•1/4...
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
YVbc� —71q `12.." ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation /1 Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor �U�pper Floors Garage �
AArea Storage _
i2.3Z ---
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. .-
TYPE ,_,_,// No. Baths No. Stories No. Rooms No. of Dwellings 0 2 * * 2 7 6 0 0
L�SNEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. •, a�
7. OF J *• 2 7 Ci 0 0rn-
WORK yQ BLD. ❑ PLMB. ❑ MECH. ElM.H. ElPOOL CERTIFICATE Req'd. Rec'd. Not eq'd.
of EXEMPTION * 2 7 6 00'
DESCRIBE WORK S---e.:0.....-
� Enum. Dist. I Location (Area) FEES COLLECTED r * CI 0 8Li�L6
8. Sih 'A.Y."-i:.,-1 CES:. iV+ELVC.= I
VALUATION SOURCE GAS ELECTRIC WATER SEWER Ownership .../ USE CODE
�� 922
�( O
9:Awl ).� UTILITIFES � "t,c Public ❑Private ISingle $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included C 5- 1 92
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this -2 UJ .Oct 6 4 7 S
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 regulating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION�7^' __,_._"" 1,21.v___ SIGNATURE OF APPLICANT 3' ' Aff 4.4_.____ Mech.
\
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env althA
/
X ,7/7'
/ SEPA a}..
/
Planning C),
Mobile Home I-"
Fire Marshall .._.J
L
'1
Co. EnteerCo. Eng' eer Other (Specify)
5/010_ /,'
U i ities
`j TOTAL $ `.7�+•C�
Plans Exainer �/
z)"7/_,S7.1.-•<-2 7; � WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist � �� / THIS BECOMES A PERMIT.
Building/'diTechnicianiaPERMIT IS NONTRANSFERABLE 0 7.°-`i},9- 2 3 9 2 3 2 2 6, a l�-
9� v ' ' lr9e1-xlPERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
�. L.:, I .. co
—4E-4) .444— .. . 4
• A 2 3. -*'''-'<t6
II51 0 - 6. 12
,. q Is ; \ 1 'I LECIAL.
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