1982, 04-05 Permit: 82A-2539 Residence J
PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
TZ,9 SPOKANE COUNTY — BUILQ NG CODES DEPARTMENT 82-A 25 361
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
. _ * AP9(-. 00
' JOB ADORES e LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S * G rj E n Q
2. "I / -c)4,pN f;tJ' /.1 f7OD/c.% � 0
OWNER r PHONE -/ 6,.!,
} t) 4/ — '{ , 0q ( * C 3. U • a. S st iel`sor - l A;<- fat y'-L• d-tj /� !- 6 >
ADDRESS ZIP Actual Set Backs in Feet
/- C) 18 >JX / ( ,f-q — _ e°c)is'fr'rn L.t, Lit'4_1 `7- i-Cn, North 25 (South East Ze:' West 0 /. -. 1. F.. 5 2
CONTRACTOR PHONE Size of Parcel Classification
!+!fit/ ✓l Jr�. 5146l.t` F1qmlLy Ei 7
4. ADDRESS ZIP Type Const. Occupancy Sprinklered
'7%4 13/m-1 Oyes ONo ❑ Req'd.
DESIGNER PHONE uan ,S� Building AreainSq.Ft.
giF 4:55' ADDRESS ZIP Main Floor Upper Floors Garage Area 'AS 9Sttorage —
CHANGE OF USE FROM TO `Areas of Decks Finished(Basement Unfin. Basement
6. .— c, t, .— —
TYPE �y�' No. Baths No.ries No. Rooms No. of i wellings
Ii NEW El ALT. ❑ AD'N. ❑ RPL. ❑ MVE. ,5 to
7, OF ❑ OTHER Req'd. Recd. Not eq'd.
WORK 54 BLD. 0 PLMB. I=1 MECH. 0 M.H. 0 POOL CERTIFICATE
of EXEMPTION
DESCRIBE WORK Enum. Dist. I Location (Area) FEES COLLECTED
8. ii-lC,t.(.._ e4lait fe tSiotxt a/b/3.1z"- Gam/tl« I
VALUATION SOURC GAS ELEC RIC WATER SEWER Ownership USE CODE
43 UTILLITIES VCy `/i;.(nj , -i'/7,c 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 and ordinances governing this Buildi
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