1982, 06-08 Permit: 82A-4641 RemodelPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
0 NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB�DDR SS _
i % "� LEGAL DESCRIPTION - SEE ATTACHED
LOT
BL: Q K SUBDIVI5 ION PARCEL NUMBERS �` r �1, c�
2. J
OWNER AA HONE
ADDRESS Z P rActual Set Backs in Feet
North South East West
CONTRACTA PHONE Size of Parcel Zone Classification
ADDRESS ZIP Ty ei1onst. Occupancy ISprinklered
,VI Dyes ❑No ❑ Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area I Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
No. Baths No. Stories No. Rooms No.'of Dwellings
TYPE ❑ NEW GALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER Req'tl. Rec'tl. t a d.
WORK I�BLD. ❑ PLMB. ❑ MECH. ElM-H. 1:1 POOL CERTIFICATE
of EXEMPTION No
8 DESCRIBE WORO ,K(/ I/ O ;��' Enum. Dist. Location (Area) FEES COLLECTED
I"
V LUATION I SOURCE GAS ELECTRIC I WATER I SEWER
Ownership SE CODE
9. � UTILOITIES Public EJ Private Zj/
Single $
1 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 SIGNATURE l SIGNATURE OF APPLICANT Mech.
SPECIAL APPROVALS
NAME DATE
iv. Heat�h
inning
re Marshall
Co. Engineer
Utilities
Plans Examiner
Iiiig'( P'W� 10
SPECIAL CONDITIONS:
Ling Tech _ PERMIT IS NONTRANSFERABLE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $
PER IT NUMBER
j2* *3200
*3200
*3200
A *0,00
464.0g
06-08-82
6479
i
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
O&-08=82` 4641 *32.00°V