1982, 02-08 Permit: 83A-0897 Residence PLAN NUMUER
�
PER^ 'N!JMBER
APPLICATION/PERMIT
' �� SPOKANE COUNTY — BUILDING CODES DEPARTMENT �3R _ 080 7
el/ NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES – PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1.
lira
} LEGAL DESCRIPTION – SEE ATTACHED
LOT BLOCK. SUBDI I IO ��nN � PARCEL NUMBER/S
2. & l 66tine/ 19Oi11itS /E4N)D070 /
OWNER P ONE 2 / �` I/ a (0O ID
3. U) i k2...- S �,W�szc- . ill Y`69d3' (Q J L
ADDRESS ZIP Actual Set Backs in Feet
P-12 •iiiL tl0�' / — 6P h'Hx I- 992 '/ 30 ' -7 `
/ �. L/ / / North South East West ��
CONTRACTOR PHONE Size of Parcel Zone Cla sification 0L_ * r ,j G 'i,ii C
='SirriN L' /04– •- /2J' SIvGt.c. FAA( mt
4. *
ZIP Ty�Onst. Occu an.cyl Sprinklered * ����'a •-.3:
� j11.1, Oyes ❑No ❑ Req'd. i-i
* (i
DESIGNER PHONE Valuation� �� r i,Building Area in Sq. Ft./ '
a
gi
5' ADDRESS ZIP Main Floor Upper Floors Gar Storage -
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement 6 4 7r
6. 9/2—
No.Baths No. Stories No. Rooms No. of Dwellings
TYPE V NEW 0 ALT. 0 AD'N. 0 RPL. 0 MVE. , ` / 64, `
7. OF 0 OTHER
WORK I ,BLD. 0 PLMB. 0 MECH. 0 M.H. E POOL CERTIFICATE Req'd. Rec'd. Not Req'd.
of EXEMPTION i/
DESCRIBE WORK Enum. Dist. I Location (Area) r-
8.
8• •S-»6 6L fiN,14/7 A€s/XXK/f. t "12Tr. 3 Ci9K. 0/20464. I FEES COLLECTED
VALUATION SOURC GAS ELEC RIC WATER SEWER Ownership /USE CODE
OF
9. UTILITIES Veit 14 Vita-#4 ..ifi"T1( Public CI 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 ` C>
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 REVERSEA- SIDE FOR REQUIRED INSPECTIONS Plumbing
DATE OF APPLICATION /-!® O 3 SIGNATURE OF APPLICANT - / "i ` Mech.
SPECIAL APPROVALS SPECIAL CONDI
' 'IONS:
NAME DATE j !
�• Plan Check
Env. Health
ODLE 0.-C t 1 11 5 SEPA `
Planning r):J
Mobile Home J
Fire Marshall
Co. Engineer Other(Specify)
•4407 /2%301 00,
Utilities
`` TOTAL $ 3^y"7 I
ans Exa ner I f !c
i- t_ - , ,.._1 0 ,� WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA hecklist THIS BECOMES A PERMIT.
ilding Tec• ► PERMIT IS NONTRANSFERABLE 0.2 '0 �! -8 2 8 9,7 z *3 O 1 O O °a F.
�_ /� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
•f rof0 o--
0 1
- . .
311 -rie 3 fi 4, 7-f„", ',I 3- OAA/
1 . .
, .
i r; .. •
I tt.
, ! ,
7v
. 10'
, I
'.!
:
vionr.......-.." ,
7 406 ,I,
ti
-.... ...-v Or . .... — .
1? i e
,,e.
\.
.1 t1/41 e 5 r
e... 700 Maea""w '7;.74-1,r3ti _,'• i
0.71/ ilm , N"
•j.. 4
i Iii
. 1
t1-1 i
1
I
i I „
tie
L
II\