1982, 05-19 Permit: 82A-3946 Blasting PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
SPOKANE COUNTY — BUILDING CODES DEPARTMENT S2. - c.,
•
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS - e * * F
00
1. < I f 5' -1g- LEGAL DESCRIPTION — SEE ATTACHED n _
LOT BLOC SUBDIVISION PARCEL NUMBER/S y
2. "1"- tilimi L'L i VI C* -di U-'`-> - Nkl A0') %� 79
w I 0 0
OWNER r-)191/4„
) Lit✓l, P... O1V C.
r, c?
3
ADD�2ESS ZIP Actual Set Backs in Feet v 9(a 5 --
35 /-- '9,2_0-2- North South East West
CONTRACTOR PHONE Size of Parcel Zo a Classification 0 E- 1 9—8 2
['&0[3 � r,� w KC- -'I/- A 5 ,
4. r> r� . b47Q
ADDRESS { �v`' 1�� Ilk fIW^ ZIP Type Const. Occupancy Sprinklered
I (B ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5. ADDRESS ZIP Main Floor Upper Floors ( Garage Area Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo.Baths No. Stories No. Rooms No. of Dwellings
0 NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE.
7. OF OTHER Req'd. Recd. Not Req'd.
WORK
0 BLD. 0 PLMB. 0 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION _
DESCRIBE WORK IEnum. Dist. Location (Area)
8. �j'; ,y t. .6k E"-i p,*'' i.-�'' ft L2 h' j j y l 1�,�, )1 i FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER'Vf SEWER
Ownership USE CODE
9. UTI LOITIES Public El 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 and ordinances governing this 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 APPLICATIO J/C 2-- SIGNATURE OF APPLICAN Pc 'l' lip—.'
.. GG/), Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS: / (72wr)
Plan Check
NAME DATE
1LAIDri�1SII/ON). ��r ur c-
Env. Health Alf V -j
(5EV
Planning
3Pl'QC$ ON * L �1 Vi?IV Mobile Home —
-
Fi e' � � _
mow jam, U.%
o. ngineer Ex-et d 3f t,v,4[4-ti 6JZ Other(Specify)
6(4\1.1'1 6 �-r 1 j c/ L 16-G-k;c% '� - 1-70 .�51 ria,
Utilities LL..iC.eWc-PE ) =-4"'Oe r. [i.i
do ' `T' I 0 0 C,O() - �AfCO tIUY �dtZIaYUC.c LLt14c'Jt.i_tT�J TOTAL $ '
Plans Examiner
/
-317O.'POD T?i. i No. 4'7 04-2/411rqh WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
Building Technician PERMIT IS NONTRANSFERABLE 0 5,- 9 8'2 3`9 4 6 2 *5,0 0 °a -
97.0 0 PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL