1982, 10-08 Permit: 82A-9312 SidingPLAN NUMBER APPLICATION/PERMIT PERMIT NUMBER
j
SPOKANE COUNTY — BUILDING CODES DEPARTMENT7l ���
Z-1
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
TYPENo.
❑ NEW ❑ALT.
❑ AD'N. ❑ RPL.
APPLICANT:
COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
1.
JOB ADDRESS
E.
No. of Dwellings
7, OF
WORK EY BLD. ❑ PLMB.
❑ MECH. ❑ M.H.
LEGAL DESCRIPTION — SEE ATTACHED
OTHER
LOT BLOCK
SUBDIVISION
PARCEL NUMBER/S :7
2.
I
Recd.
Not Req'd.
D CRIBE WO K
8 /
01N.LVER
k
Enum. Dist.
Location (Area)
FEES COLLECTED
PHONE
SOURCE
GAS
3.
1
WATER
SEWER
UY-11
USE CODE
ADDRESS
ZIP
Actual Set Backs in Feet
E. 5
qqOZ3 -7
North South East West
CONTRACTOR
PHONE
Size of Parcel
Zone Classification
cCo
. 1—
9='Z
4.
ADDRESSZIp�
Type Const.
Occupancy
Sprinklered
61,1141
�ZZjJ n ,^0
❑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.
TYPENo.
❑ NEW ❑ALT.
❑ AD'N. ❑ RPL.
❑ MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF
WORK EY BLD. ❑ PLMB.
❑ MECH. ❑ M.H.
❑ POOL
OTHER
��/ "`
CERTIFICATE
of EXEMPTION
Req'd.
Recd.
Not Req'd.
D CRIBE WO K
8 /
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION1
SOURCE
GAS
ELECTRIC
WATER
SEWER
Ownership
USE CODE
9.43 -S � UTILOITIES Public ❑ Private ❑ rjd
Single $
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 construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS�// Plumbing
DATE OF APPLICATION __ U SIGNATURF OF APPLICANT �v A� \// Mech.
SPECIAL APPROVALS
NAME DATE
Env. Health
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Bui a nici
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $_
02* *61,00
*61,00,
A *GOO n
931.12
1G-11-�2
6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
10-T,1-82 93122
DATE ISSUED PERMIT NO.
*6100(OL
�
TOTAL