1982, 01-15 Permit 82A-296 PermitAPPLICATION/ PERMIT
n, PERM
SPOKANE COUNTY - BUILDING CODES DEPARTMENT
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS
HARD TO MAKE 3 COPIES
JOB ADDRESS
3 )-y
LEGAL DESCRIPTION — SEE ATTACHED
* *8.
04 1 00
LOT
BLOCK
SUBDIVISION
PARCEL NUMBER/S
2.
*18.00
* 1 8, 0 0
OWNER
PHONE
3.
n
A *000 U
ADDRESS /l'�'-
ZI P
Actual Set Backs in Feet
North South East West
29.52
CONTRACTOR
PRONE
Size of Parcel
Zone Classification
4.
01-15-82
ADD S
�/Q1P
Type Const.
Occupancy
Sprinklered
I
❑Yes ❑No ❑ Req'd.
6479,
DESIGNER
PHONE
Valuation
Building Area in Sq. Ft.
rJ.
_
ADDRESS
ZIP
Main Floor
Upper Floors
Garage Area
Storage
CHANGE OF USE FROM
TO
Area of Decks
Finished Basement
Unfin. Basement
6.
TYPENEW ❑ALT. AD'N. ,FSJ �/ MVE. RPL.
❑ ❑ ❑
No. Baths
No. Stories
No. Rooms
No. of Dwellings
7, OF �j � \ ❑ OTHER
WORK ❑ BLE -k;, ❑ PLMB. JJ(J MECH. ` ❑ M.H. ❑ POOL
CERTIFICATE
Req'd.
I Recd.
Not Req'd.
J
of EXEMPTION
DESCRIBE N0
8 � /Q
Enum. Dist. Location (Area)
FEES COLLECTED
` O 6
VALUATION RCE GA ELECTRIC WATER SEWER Ownership USE CODE
OF
9. UTILITIES Public El 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
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
n o�'tl
/ �.�-» �' 4a,...� I
DATE OF APPLICATION SIGNATURE OF APPLICANT - Mech- >
SPECIAL APPROVALS SPECIAL CONDITIONS:
NAME DATE Plan Check
Env. Health
SEP A
Planning
Fire Marshall
Co. Engineer
Utilities
Plans Examiner
an PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Mobile Home
Other (Specify)
TOTAL $ �°
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT.
5�--8'2 29.62
DATE ISSUED PERMIT NO.
*18.00(1
TOTAL