1982, 05-11 Permit: 82A-3649 AdditionPLAN NUMBER APPLICATION/ PERMIT
SPOKANE COUNTY - BUIL&ING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB aD DRsS LEGAL DESCRIPTION - SEE ATTACHED
1.
LOT BLOCK PARCEL NUMBER/S L8 2. z.z- iOISUB")IVISIO?4
- I
OW
HONE
3 ADD�ESS I�( �, j,1P Actual Set Backs in Feet
C7 '/T ✓y e
"� � North South L- East West
CONT�IA TAR PHONE Size of Parcel Zo Classification I
LC
4' ADDRESS ZIP Type Const. OCCIP y Sprinklered
�1 � K41 ❑Yes []No ❑ Req'd.
DESIGNER PHONE valuationBuilding A�Sq. Ft.
5• ADDRESS ZIP Mair or Upper Floors arage 1 Area Storage
CHANGE OF USE FROMTO Area of Decks Finished Basement Unfin`�Basemet
6
TYPE No. Baths No. Stories No. Rooms No. of Dwell
7.W ❑ALT. AD'N. 11 RPL. ❑ MVE.
OF El OTHER CERTIFICATE Req'd. Recd. Not FjE
WORK BLD. El PLMB. ❑ MECH. El M.H. ❑POOL /
of EXEMPTION 4'
DESCRI WORK ( Enum. Dist. Location (Area) FEES COLLECTED
8. 6 ->l°-1 I fto� 74)0
VALUATION I SOURCE GAS ELECTRIC WATER 1,, SEWER Ownership USE CODE
OF
V Public El P,
9, UTILITIES Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" prDpresume
d
on reverse side, and know the same to be true and correct. All provisions of laws and ordinancthis
type of work will be complied with whether specified herein or not. The granting of a permit de Building
to give authority to violate or cancel the provisions of any other state or local law regulating coeperformance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIIONSPlumbing
Mech.
SPECIAL APPROVALS
NAME DATE
Env. IHea1 h
Planning
Fire Marshall
Co. Engineer
1,10 --T, w&;L;) lo..
ns Lxam
SPECIAL CONDITIONS:
ech PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT 14UME:ER
6,24A
Ou
r F-
6rQ04
A *cco
5 6 4, tt11
x.479
TOTA L $ &->
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
3' 6 4`9 25
DATE ISSUED PERMIT NO.
*66.001,0. -
TOTAL
LOT z -2-