1982, 03-09 Permit App: 82A-1636 AdditionPLAN NUMBER____ APPLICATION/ PERMIT
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
l.J APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
13. �- I -'{ -2-IA-,A LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIVISION PARCEL NUMBER/S
2. .0
OWNER PHONE
3. `` Ae.V ell IGs,'Cr.(,.3- �2 7 7-0
ADDRESS ZIP Actual Set Backs in Feet
1 North 65' South Z`� East L , West
CONTRACTOR PHONE Size of Parcel Zone Classification
4 C,{?AA 6 434 X 1 W5 Nu�.y
ADDRESS ZIP Type Const. Occupancy Sprinklered
F r,j a ❑Yes ❑No ❑ Req'd.
DESIGNER PHONE VaI do 4 Building Area i Sq. Ft.
5. ADDRESS ZIP 77ddM11aai-n-�AFloor Upper Floors Garage Area Y Storage
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPE _„./
NEW EJ ALT. LJ AD'N. El RPL. F-1 MVE. No. Baths No. Stories No. Rooms No. of Dwellings
t '
%, OF / [I OTHER
WORK y[( BLD. ❑ PLMB. ❑ MECH. ❑ M. H. ❑ POOL CERTIFICATE Req'd. I Recd. Not Req'd.
of EXEMPTION s�
DESCRIBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8.1-i��. T�C:.v tc 1�.E`.�I+IJ�"•�JC_E Ca4i ' c�E L�rvr +r
VALUATION I SOURCE GAS ELECTRIC WATER SEyJER Ownership USE CODE
4 LI s Public ❑ Private
UTILITIES
Single $
I 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 INSPECTIONS J` Plumbing
DATF nF APPI ICATIn'
N J � 9C�P 1;IC;NATl1RF (-)F APPI (CANT / F7 Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
inning
re Mar
lep
Utilities
/Plar s Examine
SEPA Checklist
Plan Check
SEPA
Mobile Home
Other (Specify)
PERMIT
(� ,
02* *28600
*28600 N
*28600
A *0.00
161.02
`03-09-82
2 6479,
TOTAL $ .rte ee
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
nician PERMIT IS NONTRANSFERABLE ( 0,3 �1 B - 8 2' 16 3.6 z *2 86,.0 0 a �.
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
1
N