1982, 10-26 Permit: 82B-201 Residence PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
�,A �6l 6" " 2o/
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
. e7i ,..
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
Je ADp Es�� �� LEGAL DESCRIPTION - SEE ATTACHED
1.2 LOT BL I CK SU DIVISION Ic2 I s-1 1) PARCEL NUMBER/S 6 - A ,�o r
rriaN1 2--
O+IWNER /�K6042----NI C �H�/O��NE (,/,�/��/�/, r �' ✓] `
3. DIRT ` . P _ + Actual Set Backs in Feet
ADDRESS1r4041--
(. C�q-�^ I ✓7 �j
,U • y LO 4 �,- �� ff . ✓ / /t North 'South East j / (West ✓ I
CONTRACIr R PHONE Size of Parcel Zone Classification
4' ADDRESS ZIP �Y e onst. Kcupancy Sprinklered
V °7 ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP MAO`'Fl``0001r Upper Floors Garage Area Storage -
vV
CHANGE OF USE FROM TO Ares of cks Finished Basement Unfin. Bas ment
TYPENo.Baths o. Stories No. Rooms No. of wellings
W 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
], OF ❑ OTHER CERTIFICATE Req'd. Rec'd. Nod.
WORK LLLJJJ BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL
of EXEMPTION
DESCRIBE WORK Enum.Dist. I Location (Area)
8 l 0FEES COLLECTED
I
VALUATION SOURCE GAS ELECTRIC WATER SEWER
R/ Ownership �SE CODE
OF
9. UTILITIES !✓yl�J1rl { Public ❑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 an• ',rdinances governi this Building
type of work will be complied with whether specified herein or not. The granting • . permit does n. pr me
to give authority to violate or cancel the provisions of any other state or local law • la ' g constr. on or he
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIO Plumbing
DATE OF APPLICATION___14-2" . -' IGNATURE OF APPLICANT i / D i -4... _ Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: `
NAME DATE Plan Check
nv ealt�
/e/ze SEPA n lanning ()
— iai
Mobile Home -'
Fire Marshall --
i� E�eer / Other(Specify)
�/.
Utilities � 1 '.f�
TOTAL $ v C/
Plans Examiner
'1,11.(. fJ.- iii-if--0-'3- WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist/ THIS BECOMES A PERMIT.
illri: T chnicia PERMIT IS NONTRANSFERABLE 2 O 1 z * 2 5 2,0 0 d r—
l0 26, 82
liePERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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IDEAN GREER
W.4404 SHAWNEE
i SPOKANE,WA 99208
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