1982, 03-12 Permit: 82A-1753 Addition (PLAN NUMBER e ?'
APPLICAT at PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT `�2fl . i� .
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NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. �, 13310 IS -114 AVE- LEGAL DESCRIPTION — SEE ATTACHED 6 1 0 G
LOT BLOCK SUBDIVISION PARCEL NUMBER/S 2,2_744" 24-(01- * 1.0 0
2. Pr cF tate-le- t79 IA) 12.9 p-r of 6.. 6'3c, Pr
OWNER PHONE OF 5 .. �xC N 25 FTvE.P.A * b 1.0 0 U
3, cLowt. G-i.RI s-1-A4 AN cit_G-JOQbA
ADDRESS /5- ZIP Actual Set Backs in Feet * C. C 0 v
E-.. 13 3/6, ig.--Tf-i MiS North 'South-2d/ 4 East West -4.)-I 1 7 F.2 f
CONTRACTOR PHONE Size of Parcel Zone Classification
�ABIL coN5-Ti2.+dclioNj `f-6'q-I'NI 1lb 1c-3 AGPall_TAAL- 0 3- 1 2- 8 2
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
�, �0 2-0 coI�N-may I+o>�,IsS ,�Lv� q�._18 V_N ,�-.�
❑Yes 0 N ❑ Req'd. =n 6 7 9,
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5.
ADDRESS ZIP Main Floor Upper Floors Garage Area Storage -
1A$ .-- ...—
CHANGE
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6. --
No. Baths No. Stories No. Rooms No. of Dwellings
TYPE
❑ NEW 0 ALT. EYAD'N. 0 RPL. 0 MVE. — k l )
7, OF El OTHERCERTIFICATE Req'd. Rec'd. Not Fjeq'd.
WORK i'BLD. 0 PLMB. CI MECH. CI M.H. El POOL of EXEMPTION �/
DESCRIBE WORK,,i Enum. Dist. I Location (Area)
8. REAACA C'icNAL jtocM AO11Yy��i iihhN -rt exisr►JU(7 }�(<S►D NCg, I FEESCOLLECTED
VALUATION SOURCE GAS I ELECTRIC WATER SEWER Ownership USE CODE
F
9.-------4- I U',.1...F
9. Public ❑Private Single $
I here y 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 CC)
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 reg lating construction or the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS / Plumbing
DATE OF APPLICATIG �J 1-„2- — SIGNATURE OF APPLICAN ./�
®77« J Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
72alth
341 SEPA
Planning
0
i.0
Fire Marshall Mobile Home -�
Co. Engineer Other(Specify)
Utilities ( i, GO
TOTAL $
Pla Ex inerC
WHEN MACHINE VALIDATED IN THIS SPACE,
-,,Titr,aist THIS BECOMES A PERMIT.
i,
� 'ng T nician PERMIT IS NONTRANSFERABLE 0'3-'12;, a 2' 17 5,3 2 *614 Q a,F. -
a PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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