1982, 10-26 Permit: G82B-191 DamperPLAN NUMBER APPLICATION/ PERMIT PERMIT NUMBER
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
�J APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS LEGAL DESCRIPTION - SEE ATTACHED
LOT I B O K ISUBDIVIS11ON PARCEL NUMBER/S
2.
9,VTER
��
PHONE
3.-
A DRESS
ZIP
Actual Set Backs in Feet
North South
East West
C;PrNTRACTOR
PHO IE
Size of Parcel
Zone Classification
4' DPR SS
ZIP Xfi
Type Const. I
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5. ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPEa(.
No. Baths
No. Stories
No. Rooms
No. of Dwellings
❑ NEW LVJ ALT. 1:1 AD -N. El RPL. ❑ MVE.
7, OF ❑ OTHER
❑ BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'd.
WORK
of EXEMPTION
DE CRIBEORK
Enum. Dist. Location (Area)
FEES COLLECTED
8��i��^���
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9. )
UTILOITIES
Public ❑ Private ❑
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
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 construction. SEE REVERSE SIDE FOR REQUIRED INSPECTI NS
Plumbing
(/S. -- CI(_1IATI IRC 1r: A..I 1!"A1IT n/ l /.l it l'2
r)ATC n1: A D D I Ir ATIII1IA / �. �4RI
Mph-
SPECIAL APPROVALS SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
04* * 1 4.00
* 1 4.0 0.6
A *0.00 17
19,020
.10-26-82
6479.
SEPA
c
c
c
Mobile Home L
Other (Specify)
J� Q 0
TOTA L $'
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10 �6J82 19.125
DATE ISSUED PERMIT NO.
*14.0000P.
TOTAL