1982, 09-01 Permit: 82A-7714 Washing MachinePLAN NUMBER APPLICATION/PERMIT P RMIT NUMBER
SPOKANE COUNTY — DUIWWrm CODES DEPARTMENT A _7.7 I q
NORTH 811 JEFFERSON / SPOKANE WASHINGTON 99260 / (509) 456-3675
JOB ADDRESS
1.
LOT BLOC
2.
OWNER '^�,,^^
3. :��\
ADDRESS —
0 jcc
C -O N TTRRA��CT-OF
4. ADDRESS
1k) 14
DESIGNER
5.
ADDRESS
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
y�th
TO
LEGAL DESCRIPTION — SEE ATTACHED
SUBDI ISION
Unfin. Basement
RCEL NUMBER/S
No. Baths
No. Stories
G�rQQ 1111
�4 �
7. OF ❑
WORK ❑ BLD. PLM B. ❑ MECH. ❑ M.H. ❑ POOL
PHONE
Z I,
ZIP
IN
ctual Set Backs in Feet
Req'd.
Rec'd.
Not Req'
rth South
East West
�401^ - t�>v
PHONE
'61ZIP
e of Parcel
Zone Classification
Vt lt.+� - - ` v-�
r+n' t
S3 I
VALUATION OF E GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public C] Private ❑
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
Type Const.
Occupancy
Sprinklered
performance of construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIOW
Plumbing
%
DATE OF APPLICATION Glk-=—
❑Yes ❑No ❑ Req'd.
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
PHONE
luation
Building Area in Sq. Ft.
ZIP
Main Floor
I Upper Floors I
Garage Area
T Storage
i.nrarvt�t ur uat r OM
6.
TO
Area of Decks
Finished Basement
Unfin. Basement
TYPE
NEW ❑ A ❑ AD'N. ❑ RPL. ❑ MVE.
j
No. Baths
No. Stories
No. Rooms
No. of Dwellin
7. OF ❑
WORK ❑ BLD. PLM B. ❑ MECH. ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
Rec'd.
Not Req'
of EXEMPTION
DESCRIBE WORK
8•
Enum, Dist. Location (Area)
Vt lt.+� - - ` v-�
FEES COLLECTED
VALUATION OF E GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public C] Private ❑
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
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
Building
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 INSPECTIOW
Plumbing
%
DATE OF APPLICATION Glk-=—
SIGNATURE OF APPLICANT / ✓
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Plan Check
v. Health q1 t i�13 Rs H VVM-%L4t S -?-
Planning _--
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
ng I n PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
SEPA
Mobile Home
Other (Specify)
TOTAL $�
03* *900
*9,006"
11 *0100 v
771.3<0
09-01-82
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
0970.1. 82 771425
DATE ISSUED PERMIT NO.
TOTAL