1982, 09-17 Permit: G82A-8318 DampersPLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1. East 11023 - 24th Spokane, WA 99206 LEGAL DESCRIPTION —SEE ATTACHED
LOT BLOCK SUBDIVISION PARCEL NUM13L^R/S
2.
OWNER
3. Bud E. Thompson
ADDRESS
East 11023 - 24th
CONTRACTOR
Michael L. Haney Specialty Contractor
4' ADDRESS
East 11411 - 29th Spokane
DESIGNER
5. ADDRESS
CHANGE OF USE FROM ITO
6.
TYPE ❑ NEW
7, OF
WORK ❑ BLD.
DESCRIBE WORK
8• Install Ven'
PHONE
456-3755
ZIP
99206
PHONE
926-9423
919206
PHONE
ZIP
❑ ALT. X3 AD'N. ❑ RPL. ❑ MVE.
❑ OTHER
❑ PLMB. Ki MECH. ❑ M.H. ❑ POOL
Z
Actual Set Backs in Feet
North South
East West
Size of Parcel
Zone Classification
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
Valuation
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
I Storage
Area of Decks
Finished Basement
Unfin. Basement
No. Baths
No. Stories
i No. Rooms
No. of Dwellings
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
Enum. Dist. Location (Area)
FEES COLLECTED
VALUATION SOURCE GAS ELECTRIC I WATER SEWER Ownership USE CODE
OF
9. UTILPublic ❑ Private ❑
ITIES
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 INSPECT S Plumbing
DATE OF APPLICATION 91_1 Z�/l / Q �L— SIGNATURE OF APPLICANT AulMech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SPECIAL CONDITIONS:
n PERMIT IS NONTRANSFERABLE
PPRNIIT FXPIRFS ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $fi
jJ PERMIT NUMBER
(Gl �', 4-A ^ f3-1?
04w * 1 9.00
* 1 9.00
A *0,00
831.78
09-17-82
2 6.479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0 9 -17 -8 2 83182
DATE ISSUED PERMIT NO.
*19.008
(jl,..