1982, 01-07 Permit App: 82B-119 ResidenceSPOKANE COUNTY •-- 2UILDING CODES DEPARTMENT
L NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
0.2 * * 1 26,00
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
1 1 1 i
LEGAL DESCRIPTION — SEE ATTACHED
1.
* 1 2 6, 0 0 1z.
LOT
q
BLOCK
'�ISUBDIVISION,
�
� .
PARCEL NUMBER/S ��
4- - l z
* 1 2 6 0 0
PHONE
OWNER �R� ,�
l
OC
3.
��`'d
A *0.00
1 1. 82
ADDRESSI 7
Zc��p
Actual Set Backs in Feet
-f
/7c)
North South East West
01 X07-82
CONTRACTOR II II
I
E
� ~gin
Size of Parcel
��2�u
Zone Classification
�
I
►1G:- � �
N�
�I ��� �1 �,�
6479,
a.
ADDRESS �r�,�y +, rte i -/r
G
•/ - !RC1' 1`+ 1.1 I
C
1--�' �y
Ty�p%eA nst.
V 1�
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuatio
7j
Building Area in Sq. Ft.
5.
g Z
_
ADDRESS
ZIP
M in Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
1
TYPE ElNEW 1:1ALT. AD'N. ElRPL. ❑ MVE.
No. Baths
No. Stories
'
No. RoomsNo.
4,
of Dwellings
t
7. OF/' 11 OTHER
CERTIFICATE
Req'd.
Recd.
Not q'd.
WORK ['� BLf). ElPLMB. ElMECH. ElM.H. 1-1POOL
of EXEMPTION
DESCRI E WORK
ir�ik,20 C ' %1� Iv U
Enum. Dist. Location (Area)
FEES COLLECTED
8. 7
VALUATION
SOURCE
GAS
ELECTRIC
WATER
SEV�5R
Ownership
1 USE CODE
9.
OF
UTILITIES
v
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
-2
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
�J
DATE OF APPLICATION' Y� 7 17i2 SIGNATURE OF APPLICANT
Mech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE �f�y�Lt�{,•V vAi ,,�i(1Q� 7]5,�1�
nv. Health t� 1GG' I�VJI'� ({ T`•'
w< K t v �'� ' I� n �l0►�( I I l u� � v
anning
ire Marshall
Co. Engineer
Utilities
Plans Examiner
n PERMIT IS NONTRANSFERABLE
-� PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
O
U
Mobile Home w
Other (Specify)
TOTAL $
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
�'�,;07 82 11.9c5 *'126000F
DATE ISSUED PERMIT NO. TOTAL