1982, 03-02 Permit: 82A-1411 AdditionPLAN NUMBER
APPLICATION/PERMIT
PERMIT NU
i
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
! 2 * * 8 9, 0 0
JOB ADDRESS
y� � -1-14
LEGAL DESCRIPTION - SEE ATTACHED
*89,00 N
LOT
I BLOCK
JSUBDIVISIO"� 11 II
PARCEL NUMBER/S
+- t-'
ice* Or l- ,7 '� �� i �`�' �L„—
W 1
89.00
A * O 0 0 p
OWNER /, I
PHONE
1,
3. ' t A N%LCA"V
���i
'—
140,59
ADD SS �J
ZIP
Actual Set Backs in Feet
North South East West
03-02-82
CONTRACTOR
PHONE
Size'of cel
Zone Classification
)
6479
4.
ADDRES
ZI
Type r}st.
�
C)cuPancYPr
nklere�
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuayttiion_
l
Building Area in Sq. Ft.
5'
G'�n
_
ADDRESS
ZIP
Main Floor
7
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE ❑ N ❑ ALT. �AD'N. ❑ RPL. ❑ MVE.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF ❑ OTHER
BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not R 'd.
WORK
of EXEMPTION
I
DESCRIBE W i < '
-
��'t'
Enum. Dist. Location (Area) FEES COLLECTED
8. � �: I
VALUATION I SOURCE GA ELECTRIC WATER SEWER SE CODE
Ownership
OF Public ❑ Private
9. UTILITIES �� Single $
I
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
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 construct' SEE REVERSE SIDE FOR REQUIRED INSPECTIO S?,o Plumbing
M
f
DATE OF APPLICATIO �" SIGNATURE OF APPLICAN� Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE ,/ - Plan Check
�+U+ fes^= �� �� �� PZ-0
C,;i I r
En
th
SEP A
-3/Z
tannin
C
Mobile Home
Fire Marshall
L
L
Co. Engineer Other (Specify)
Utilities
TOTAL $�
s Exa e
f
WHEN MACHINE VALIDATED
IN THIS SPACE,
SEP Checklist THIS BECOMES A PERMIT.
—auiLding T r r PERMIT IS NONTRANSFERABLE O � 0 'L1 �a 21
1' L I Z it a 9, 0,�D a F
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL