1982, 05-27 Permit: 82A-4257 InsertPLAN NUMBER
APPLI-ERMITPERMIT NUMBER
SPOKANE COUNTY LING CODES DEPARTMENT --rA1,111 4z ?
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
,.r 1 Z kt, LEGAL DESCRIPTION - SEE ATTACHED
LOT I BLOCK ISUBDIV151ON I PARCEL NUMBER/S
OWNEX�j
7-
3. 14 %
ADDRESS
ZIP
Actual Set Backs in Feet
a�1� 4e
/�
C
North South East
West
CO NT RAI OR
PHONE
Size of Parcel
Zone Classification
��
4.
ADDRESZIPG+�'�\
Type Const.
Occupancy
Sprinklered
r�
' 12j)
Oyes ❑No ❑ Req'd.
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
5
ADDRESS
ZIP
Main Floor
I Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
I
Baths
No.
Stories
No. Rooms
No. of Dwellings
TYPENo.
NEW ❑ALT. ❑ AD'N. ❑ RPL. ❑ MVE.
7, OF ❑ OTHER
WORK BLD. ❑ PLMB. X MECH. ❑ M. H. ❑ POOL
CERTIFICATE
Req'd.
Recd.
Not Req'd.
of EXEMPTION
I
DES RIeA
E WQVK
Enum. Dist. Location (Area)
8 .
.
FEES COLLECTED
e C � ` K
VALUATION
SOU CE
AS
ELECTRIC
WATER
S ER
Ownership
USE CODE
9. :
UTILOITIES
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
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
Plumbing
MATE r)F APPI IrATlrlll � � Cir-KIATI IDC (lC ADDI 1!`nnl�� --�C'>
Mech.
Env.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Ig
arshall
gineer
Utilities
Plans Exam
F—WA l
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ?Z' M
04* *20.00
'?Cv0 u>
*20.00
P,
425,6
05-27-82
6,479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
05,2-7-82' 425.725
DATE ISSUED PERMIT NO.
*20.00n'.'
TOTAL