1982, 08-20 Permit: 82A-7318 Repair Fire DamagePLAN NUMBER APPLICATION/PERMIT
PERMIT NUMBER
SPOKANE COUNTY — BUIL,�7' )N CODES DEPARTMENT `-7S'f!5
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
1 ,� Z�r�-► LEGAL DESCRIPTION — SEE ATTACHED
LOT I BLOCK SUBDIVISION I PARCEL NUMBER/S
3
OWNER
3. ILA WZ -A
ADDRESS
t i oq I `'i -
CONTRACTOR
-Drab
4. ADDRESS
W . -:3>4-(=>
DESIGNER
5. ADDRESS
c..N.
CSCO .
CHANGE OF USE FROM ITO
6.
PHONE
ZIP
P(ctual Set Backs in Feet E, -K 1 S -T- 103
`I
a�,)-ChCo
North South East West
PHONE
Size of Parcel
Zone Classification
33a5 -
—
ZIP
Type Const. Occupancy Sprinklered
QCA-I-os
TZ - ❑Yes ❑No ❑ Req'd.
PHONE
Valua ion_ Building Area in Sq. Ft.
15 pat'? --.
ZIP
Main Floor
Upper Floors I
Garage Area
Storage
Area of Decks
Finished Basement
I Unfin. Basement
TYPE �/ No. Baths No. Stories No. Rooms No. of Dwellings
D �VEW ❑ ALT. ❑ AD'N. 'LTJ RPL. ❑ MVE. r- ---
7, OF �JJ 1-1OTHER
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑ POOL CERTIFICATE Req'd. Recd.Not R�q'd.
of EXEMPTION V/
DESCRIBE WORK Enum. Dist. Location (Area)% FEES COLLECTED
8. 1 R.E 0 A Y1/1At I a.,
VALUATION I SOURCE GAS ELECTRIC WATER I SEWER
Ownership USE CODE
OF
94 UTILITIES Public ❑ 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 ISLC
type of work will be complied with whether specified herein or not. The granting of a permit does not presume Building
oc
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 APPLICATIOA rr %070 —6 oC SIGNATURE OF APPLICAN�� Mech.
02* * 1 26.00
* 1 26.00Y
A *000 00
731.72
08-20-82
z 6.479.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
s
rAOZiZ6Q SEPA 2
Planning
O
U
Fire Marshall Mobile Home
o. Engineer
Utilities
Plans Examiner
Other (Specify) i
TOTA L $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
uilding Technician PERMIT IS NONTRANSFERABLE I Q.8 ..,;iN i -x'8'..'2 % 3 1, S z * 1 2 �6, 0 a. F —
`�' �` PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL