1982, 06-28 Permit: 82A-5470 Addition PLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
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SPOKANE COUNW --1•1BUILDING CODES DEPARTMENT
8.:.?4- S `f7D
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509)456-3675
• Pi APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESSAp-
1. I 0_-77 1 , 2e.0 1ff LEGAL DESCRIPTION — SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUMBER/S y * 2 0 0
2. 4- \ �., Vi' X4 42'44c,
OWNER PHONE * 2 2 f 0 0 6
V �, * C00
3. I i� b� - '
ADDR-SS Actual Set Backs in Feet
' 16 :1 7 ll'iNorth 'SouthEast West IL) 5 3 7. 1
COr\TRA TO Size of Parcel Zo a Classification
P ON
4. fi ) 23'50 � �� jG I7 1,C c 06 24= 82
ADDRESS ZIP Ty C nst. Ocpancy Sprinklered c 6 4 7 C
❑Yes 0 N 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
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5. ADDRESS ZIPrgia Floor Upper FI ors Garage Area Storage —
tico & C ,.
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
TYPE No.Baths No. Stories No. Rooms No. of Dwellings
❑ jVEW ❑ ALT. AD'N. 0 RPL. ❑ MVE.
7. OFA// 0 OTHER J
WORK BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Recd. Not q'd.
of EXEMPTION
DESCRIBE WORK i Enum. Dist. Location (Area) T
8. i 0 Ao n I' . FEES COLLECTED
VA LATION
SOURCE GAS ELECTRIC WATER SEWER Ownership /USE CODE
OF
9. UTILITIES
-„---4512-r16,.. Public ❑Private lf]'
i 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 �—�-
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
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 APPLICATION 6/o? /1� SIGNATURE OF APPLICAN Al.. _ �s�. Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env eal h
Planning 6/2.FSEPA 2
U
r�
Fire Marshall Mobile Home w
Co. Engineer Other(Specify)
Utilities
. /
man aminer TOTAL $
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1WHENMACHINEVALIDATEDINTHISSPACE,
SEPA Checklist THIS BECOMES A PERMIT.
016' 42'18'+8!� - ,ng�ech • � _� PERMIT IS NONTRANSFERABLE 2 54 ,.Oo k 228. 00O -
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PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
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