1982, 09-02 Permit App 82A-7796 AdditionAPPL_.ICATION/PERMIT
PERMIT MJMBER'
-7
GAS
Gy
8 i /
SPOKANE COUNTY — BUILDING CODES DEPARTMENT
SEWEROF
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
G L* *' 1 O O
* 1&OOV
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS
4-1 ( c)
g.
LEGAL DESCRIPTION — SEE ATTACHED
2. ��
K���
;PHONE
PARCEL NUMBER/S
Jf-Q�
OWN R
I/
G
��
Single $
3
✓0
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type of work will be complied with whether specified herein or not. The granting of a permit does not presume
A *000 00•
ADDRESS
G — G�
^ /
Actual Set Backs In Feet
-
I `
f^V V7
North Soufh� East Wast
7 7 9.5
CONTRACT
R
PHONE
Size of Parcel Zone
lassif icati n
4.
SPECIAL CONDITIONS:
NAME DATE
g2 X �v >l
Plan Check
09-02-82
ADDRESS
ZIP
yp14 o1n�t.
ccupancy
Sprinkered
SEPA
N
3
Elves ElNo El Req'd.
X 6479
DESIGNER
PHONE
Valuaronn
Building Area in Sq. Ft.
5•
Exam" I
Na5ans
_
ADDRESS
ZIP
Main FI or
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished BasementUntin.
Basement
6.
TYPENo.
❑�EW El ALT. AD'N. El RPL. El MVE.
Baths
No. Stories
No. Rooms
No. of Dwellings
%• OF El OTHER
CERTIFICATE
Req'tl. I
Rec'tl.of
'tl.
11gJ
WORK BLD. ❑ PLMB. ❑ MECH. ❑ M.H. ❑POOL
of EXEMPTION
IN
DESCRI§E WO RKA-40
1
Enum. Dist.
Location (Area)
FEES COLLECTED
VALUATION
0 rn
Building c iia PERMIT IS NONTRANSFERABLE 019 A Z2'' -P,2 7 7 9. 6 Z * 1'14.0 0 a Fj
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL
SgURCE
GAS
ELECTRIC
WATER
SEWEROF
Ownership
USE CODE
g.
UTILITIES
C
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
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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 INSPECTIO S�
Plumbing
Z" / 2�SIGNATURE
DATE OF APPLICATIO OF APPLICANT1
Mech.
SPECIAL APPROVALS
SPECIAL CONDITIONS:
NAME DATE
Plan Check
Env. Health
del Ka
0,
SEPA
Plannin
Mobile Home
Other(Specify)
Fire Marshall
Co. Engineer
Utilities
TOTAL $�J_
Exam" I
Na5ans
WHEN MACHINE VALIDATED
THIS BECOMES A PERMIT.
IN THIS SPACE,
SEPAiec
Building c iia PERMIT IS NONTRANSFERABLE 019 A Z2'' -P,2 7 7 9. 6 Z * 1'14.0 0 a Fj
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL