1982, 02-26 Permit App 82A-1353 ResidencePLAN NUMBER APPLICATION/PERMIT
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
1. 6-
LOT
2.
OWNER,
3. G
ADDRESS
51 .
CONNTTrtR[AAC
4. ADDRESS
NORTH 611 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
LEGAL DESCRIPTION — SEE ATTACHED
PA',.RICEL NUMBEEER/S i '�I�s I �-,=)01
PHONE 7 ✓Vi I%yi( GKi• 19. 7 y/1,
u ISI I,?,
mst. I Occupancy Sprinkleretl
�, I Oyes ONO O Req -d.
PERMIT NUMBER
SQA-- l3�"3
02* *4000
*40,00 t6
*40006
A *000 00
1352
03-01-82
-4 6479.
DESIGNER
UTILITIES
PHONE
Valuation
Building Area in Sq. Ft.
Public 0Private
5.
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
ADDRESS
type of work will be complied with whether specified herein or not. The granting of a permit does not presume
ZIP
Main Floor Upper Floors
Garage Area
Storage
performance of construction. SEE SIDE FOR REQUIRED INSPECTIONS
Plumbing
%REVERSE
C G — f�G�
DATE OF APPLICATION �` a2 SIGNATURE OF APPLICAN
h
CHANGE OF USE FROM
SPECIAL APPROVALS
TO
Area of Decks
Finished Basement
Unfin. Basement
Plan Check
f).
Erylv,,r He 111h"F I�'
SEPA
TYPE
Planning
No. Baths
No. Stories
No. Rooms
No. of Dwellings
Mobile Home
W ALT.
0 AO'N. 0 RPL.
0 MVE.
Other (Specify)
Co. Engineer
Utilities
7, OF
TOTAL $4
0 OTHER
Plans Examiner
�Q
N r
CERTIFICATE
Req'd.
I Rec'd.
Not Ryq'tl.
WORK BLD. 0 FILMS. 0 MECH. ❑ M.H. 0 POOL
PERMIT IS NONTRANSFERABLE
0 �I�.•.�61 I—I813 � 3 z
Buil Te ian r
of EXEMPTION
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATF ICSIIFR.—., PFRMIT Nn
DESCRIBE WORK
Enum. Dist. Location (Area)
8.
FEES COLLECTED
Ownersh io 1,USE CODE
VALUATION
I SOURCE
GAS
ELECTRIC
I WATER
I SEWER
9. /L/V
UTILITIES
Public 0Private
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 SIDE FOR REQUIRED INSPECTIONS
Plumbing
%REVERSE
C G — f�G�
DATE OF APPLICATION �` a2 SIGNATURE OF APPLICAN
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Erylv,,r He 111h"F I�'
SEPA
Planning
Mobile Home
Fire Marshall
Other (Specify)
Co. Engineer
Utilities
TOTAL $4
Plans Examiner
�Q
N r
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checks ist
THIS BECOMES A PERMIT.
PERMIT IS NONTRANSFERABLE
0 �I�.•.�61 I—I813 � 3 z
Buil Te ian r
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
DATF ICSIIFR.—., PFRMIT Nn
*Q0;0aJ -
TOTAI