1982, 09-30 Permit: 82A-8883 AdditionPLAN NUMBER APPLICATION"'
PERMIT NUMBER
_RMIT
SPOKANE COUNTY — BUILLk..%A .,ODES DEPARTMENT
NORTH 8" JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
LEGAL DESCRIPTION —SEE ATTACHED
1• ���`` ��{�a�
LOT BLOCK SUBDIVISION �}c7 PARCEL NUMBER/S
2. —7 IAG%Ms
0c* *12000
OWNER PHONE
* 1 2 C. 0 0
ADDRESS Actual Set Backs in Feet t � N(�
r1
rZIP
North South East West
CONTRACTOR PHONE Size of Parcel Zone Classification
1.
,li►-�� C� . u�3u �S,A�
l 9 -2E, - 8 2
4.
ADDRESS ZIP Type Const. I Occupancy Sprinklered
QYK� M Dyes -]No ❑ Req'd.
_ 6,470
DESIGNER PHONE Building Area in Sq. Ft.
�Wuation
`�� 5-7C..
5. ADDRESS ZIP Main Itloor Upper Floors Garage Area Storage
_
— !S�7( �
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE ,// No. Baths No. Stories No. Rooms No. of Dwellings
NEW ❑ ALT. f AD'N. ❑ RPL. ❑ MVE.
7, OF , / ❑ OTHER CERTIFICATE Req'd. Recd. Not Rada.
UUU��7 BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
WORK lr1
$F of EXEMPTION
DESCRIBE WORK Enum. Dist. Location (Area)
FEES COLLECTED
8' , Lor
VALUATIQN SOURCE GAS ELECTRIC WATER TSEWER Ownership USE CODE
OF
9• IUTILITIES_ I �(CF7(�(� Public 13 Private
I 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 INSPECTIONS Plumbing
l Mech.
DATE OF APPLICATIO SIGNATURE OF APPLICAN�•
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
EnvI alth
SEPA
PI nn g
O
Mobile Home
"a
Fire Marshall
-�
Co. Engineer Other (Specify)
Utilities
TOTAL $a -
Plans E minex
�( WHEN MACHINE VALIDATED
IN THIS SPACE,
klist THIS BECOMES A PERMIT.
ng Techni ' n PERMIT IS NONTRANSFERABLE Q g '3'0 "8 ,2
888.325 *120-00"-j
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED
PERMIT NO. TOTAL