1982, 06-11 Permit App: 82A-4840 SprinklerI I SPOKANE COUNTY — BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOg_aDDRESS -b/�
-7
LEGAL DESCRIPTION — SEE ATTACHED
R R
LOT BLOCK SUBDIVISION I PARCEL NUMBE9/S
2.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
/aluation
OWNER
f
P O E
3.
Upper Floors
Garage Area
I Storage
AQja,2ESS
Area of Decks
I Finished Basement
GCON
RACTOR
No. Baths
No. Stories
No. Rooms
%�RW)9LL
Jam' / KL
4.
ADD ESS
CERTIFICATE i
ZIP
.+
Rec'd.
T -
of EXEMPTION
.Y Jrl
I
DESIGNER
PHONE
5'
ADDRESS
ZIP
CHANGE OF USE FROM
TO
6.
TYPE ❑ NEW
❑ ALT. ❑ AD'N.
❑ RPL. ❑ MVE.
7
OF
E)BLD.
ElPLMB. ElMECH.
OTHER
ElM.H. ElPOOL
WORK
Actual Set Backs in Feet
Jorth (South
;ize of Parcel
Type Const.
Occupancy
Sprinklered
❑Yes ❑No ❑ Req'd.
/aluation
Building Area in Sq. Ft.
Main Floor
Upper Floors
Garage Area
I Storage
Area of Decks
I Finished Basement
Unfin. Basement
No. Baths
No. Stories
No. Rooms
No. of Dwelling<
CERTIFICATE i
Req'd.
Rec'd.
Not Req'd.
of EXEMPTION
I
DESC IBE WORK Enum. Dist. Location (Area) FEES COLLECTED
8. 1•[' ^*77e-
N,C C t� STS
VALUATION I SOURCES GAS ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIEPublic ElPrivate E3
Single $
1 hereby certify that I have read and examined this application and have read the "NOTICE" provisjpresume
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances gBuilding
type of work will be complied with whether specified herein or not. The granting of a permit doesto give authority to violate or cancel the provisions of any other state or local law regulating constrperformance of construction. SEE REVE,(R�SE SIDE FOR REQUIRED INSPECTIIOON,�S//7 /Plumbing
noTP nG ADDI Ir'ATIr1N 4U � CICKIATI IDC nC ADD( I ALIT/ //1/J Z7— LJMech.
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE
Env. Healtn
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
SEPA Checklist
Building Technician
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Plan Check
03* *9,0/0
*9.00 n
*9,000
A *0,00
483.920
06-11'-82
6.479.
SEPA >-
a
O
U
Mobile Home LU
J_
Li.
Other (Specify)
TOTAL $ �—
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
1
0 -411`82 48il0z
DATE ISSUED PERMIT NO.
*9,OOaF -
TOTAL