1982, 12-17 Permit: 82B-2075 ResidencePLAN NUMBER APPLICATIOXN/PERMIT
`S i'Llv
SPOKANE COUNTY — BUliiii6i CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
T� LEGAL DESCRIPTION — SEE ATTACHED
LO 1,, 1 BL DI VISION IPARCEL NUMBER/S
TYPE No. B the o. Stories No. Rooms No. of Dwellinc
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK )K9LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'c
DES (,BE WORK of EXEMPTION
8.
Enum. Dist. Location (Area) FEES COLLECTED
�� C� `,fie-_yG�,c�1
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 >�
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 �c� -i � � CC nc O
I(:nlATI IRADDi ir'AhlT s�?i/ /////AlIC
SPECIAL APPROVALS
NAME DATE
E v. ealth
fi CZ
Piarjining
Fire Marshall
Co. Engineer
?Etag-y
Utilities
SEPA Chec
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ '4Ay` 00
i
MIT NUMBER
28 ,075
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2, 2 0 Z'5 z *2 4 0, 0 0 a -
DATE ISSUED PERMIT NO. TOTAL
UVV I
PHONE
3.
--:m5
--r-yki 0 r :28:54- -3
ADDRESS
w
ZIP
Actual Set Backs in Feet
!
7
c
�
'
��./
North South —>d
East k45� West
CONTRACT
PHONE
Size of Parcel
Zone Classification
4.
50 x 1.50
A(,,,. SwP3"gmr-N
ADDRESS
ZIP
Type Const.
Occupancy
Sprinklered
�-2j
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5.
6�
ADDRESS
ZIP
Maln Flo r
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basemen
6.
t
I
TYPE No. B the o. Stories No. Rooms No. of Dwellinc
NEW ❑ ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK )K9LD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'c
DES (,BE WORK of EXEMPTION
8.
Enum. Dist. Location (Area) FEES COLLECTED
�� C� `,fie-_yG�,c�1
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 >�
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 �c� -i � � CC nc O
I(:nlATI IRADDi ir'AhlT s�?i/ /////AlIC
SPECIAL APPROVALS
NAME DATE
E v. ealth
fi CZ
Piarjining
Fire Marshall
Co. Engineer
?Etag-y
Utilities
SEPA Chec
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ '4Ay` 00
i
MIT NUMBER
28 ,075
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
2, 2 0 Z'5 z *2 4 0, 0 0 a -
DATE ISSUED PERMIT NO. TOTAL
r-7
E,
rl Z�)&�Il
c�O.