1982, 07-23 Permit: 82A-6336 AdditionPLAN NUMBER
APPLICAT[Oh.,,• 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
� •
' �0 ,�� •�}
Size of Parcel
Z ne Classification
LEGAL DESCRIPTION —SEE ATTACHED
BLOCK
SUBDIVISION
N ,�
4' AD
PARCEL NUMBER/S
2LOT
P�
\/J
A- 000-
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
OWNER
�.
3
PHONE
zz -
787
ADD ESS
-7 �p µ!
ZIP
Upper Floors
Actual Set Backs in Feet
Storage
North South East West
CO TRACTOR
HONE
Size of Parcel
Z ne Classification
�
4' AD
RE55
y � 2--
!�-�6
P�
Type Ggnyt.
\V/N
p�cupancY
`F1 y/,
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
` _
11
Building Area in Sq. Ft.
5' ADDRESS
ZIP
or
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Areaf Decks
Finished Basement
Unfin. Basement
6.
0
hs
No. Stories
No.Rooms No. of Dwellings
TYPE ❑/IyEW ❑ ALT. AD'N. ❑ RPL. ❑ MVE.
Lla
7. OF
" ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL ❑OTHERTIFICATE
Req'd.Recd.
Not
Req'd.
WORK
XEMPTIONDESCRIBE
WORK
Agot2l -n
Dist. Location (Area)
FEES COLLECTED
8.
oj
VALUATION
SOURCE GAS
LECTRIC
WATER
SEWER
USE CODE
9.
UTILOITIES
rivate ❑
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 ning this
,,
Q 0
type of work will be complied with whether specified herein or not. The granting of a perm i s t p u
Building ll
to give authority to violate or cancel the provisions of any other state or local I w regulati 01 struc on o he
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECT(ON15,
Plumbing
<�
f•
Mech.
DATE OF APPLICATION SIGNATURE OF APPLICANT
SPECIAL APPROVALS
SPECIAL CONDITIONS:
Plan Check
Env. "ealtn
Planning
Fire Marshall
Co. Engineer
Utilities
Plans r
PERMIT IS NONTRANSFERABLE
J� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
PERMIT
NUMBER
02* *10800
*108006)
6355x_
0i -23-C2
6,479
TOTAL $ l
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
7 2'3 $2 63162 *108,00;°a -
DATE ISSULrb� PERMIT NO. TOTAL
n