1983, 05-18 Permit: 83A-4246 ResidenceLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY — B "'LD'M CODES DEPARTMENT
l� NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
JOB ADDR
LOT l
1'7�ilaf.�`/I
OWNER
3.
4. .%
ADDRESS ADDR ESS
r' i
DESIGNER
APPLICANT:
COMPLETE NUMBERED SPACES - PRESS
HARD TO MAKE 3 COPIES
ADDRESS
ZIP
LEGAL DESCRIPTION - SEE ATTACHED
Garage Area Storage
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SUBDIVISION
TO
Area ofDec 59
PARCEL NUMBER/S
Basement Unfin. Baserryent
s
V
ft
p
No. Baths
No.• tories
PHONE
NNo``t7off7Dwellings
TYPE
NEW E) ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7q 6-7
7, OF�(' El POOL
<BLFJ, ElPLMB. LlMECH. ❑ M.H. ElPOOL
CERTIFICATE I
Req'd Rec'
ZIP
90?01i
Actual Set Backs in Feet
North 1South_W
East / West
1
rot
DESCRIBE WORK
.
Enum. Dist. Location (Area)
FEES COLLECTED
8 r `� , ^ ��
f
AL' ATION 56UR E GAS ELECTRIC WATER SEWER Ownership
PHONE
Size of Parcel
111
Zone Classification
(!,-,tSSVy
�
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this
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11 _ 0
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
Zq1qIP 0.t 6
TY�ered
e C nsti�
t!'on Y
51114 A Occupan#y3
Dyes �alo Sprinkl❑ Req'd.
c
PHO E (3
V
11014,7
I
Buil ting Arep in . Ft.
5.
ADDRESS
ZIP
Vairf Floor Upper FI ors
Garage Area Storage
_J 0 ve
CHANGE OF USE FROM
TO
Area ofDec 59
inished
Basement Unfin. Baserryent
s
V
ft
ffol
No. Baths
No.• tories
No. Rooms
NNo``t7off7Dwellings
TYPE
NEW E) ALT. ❑ AD -N. ❑ RPL. ❑ MVE.
7, OF�(' El POOL
<BLFJ, ElPLMB. LlMECH. ❑ M.H. ElPOOL
CERTIFICATE I
Req'd Rec'
Req'd.
WORK
of EXEMPTION
rot
DESCRIBE WORK
.
Enum. Dist. Location (Area)
FEES COLLECTED
8 r `� , ^ ��
AL' ATION 56UR E GAS ELECTRIC WATER SEWER Ownership
11 Public I-]Private�70DE
OF � !
UTIL TIES
WW
W Wt��QrRC�
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
DATE OF APPLICATION a SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
Plan Check
NAME DATE — ilOk I I
nnin < .c t 1 s LAC" 0K�
Fire Mars
Co, gir
kcids
Utilities
Plans Exne �3�-F'�
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $
321
PERMIT NUMBER
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
g �- g.3 4 2 4 6 2
=100u
DATE ISSUED PERMIT NO. TOTAL
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1-7
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50'
50.
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1-7
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