1982, 07-02 Permit 82A-5550 AdditionPLAN NUM73ER
/6o
APPLICATION/PERMIT
SPOKANE COUNTY - BUILDiN-G CODES DEPARTMENT
PERMIT NUM, R
1.550-1
4. ADDRESS
NORTH 811 JEFFERSON / SPOKANE, WASHINGTON 99260 / (509) 456-3675
APPLICANT: COMPLETE NUMBERED SPACES — PRESS HARD TO MAKE 3 COPIES
1.
LOT
2.
JOB A40RE55
BLOCK SUBDIV SIO
I O
OWNrit
ER
3. ADDRESS
CO NTCe
LEGAL DESCRIPTION — SEE ATTACHED
PHONE
P ONE
.� 4F3I
ZIP
PARCEL NUMBER/S Y 4 � 2-4",
'Z ice- . A yO O - 5d I
Actual Set Backs in Feet
North ?Co) 'South
Size of Parcel
3CL'x 1€'7
Type Cbnst.
O cupancy
East 'West
Z ne Classification
Sprinklered
❑Yes ❑No ❑ Req'd.
DESIGNER
5. ADDRESS
PHONE
ZIP
Valuation
Building Area in Sq. Ft.
10) I HC
Main FFI6or Upper Floors Garage Area
Storage
CHANGE OF USE FROM
6.
TYPE
7. OF
WORK
iNEW
TO
❑ ALT. Gl AD'N. ❑ RPL.
❑ PLMB. ❑ MECH_ ❑ M.H.
DESCRIBE WORK
8. 701i1 J
V LUATION ELECTRIC
9.
SOURCE
OF
UTILITIES
GAS
❑ MVE.
❑ POOL
WATER
❑ OTHER
SEWER
IG ,
Area fC
2602
No. Baths
Finished Basement
o. Stories
No. Rooms
Unfin. Basement
- v
No. of Dwellings
CERTIFICATE
of EXEMPTION
Enum. Dist. location (Area)
Ownership
Public 0 Private ❑
USE CODE
I 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 wori:r 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
performan9-af construction. SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 9 a
DATE OF APPLICATION
SIGNATURE OF APPLICANT
Req'd.
SPECIAL APPROVALS
NAME DATE
Env eal
Planning
Fire Marshall
Co. Engineer
Utilities
Plan A Erxaminer
SEPA Checklist
SPECIAL CONDITIONS:
PERMIT IS NONTRANSFERABLE
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE
Rec'd.
Not Req'd.
FEES COLLECTED
Single
Building
Plumbing
Mech.
Plan Check
SEPA
Mobile Home
Other (Specify)
TOTAL $ ID !✓
02* * 1 02,00
*102006
A *000
557.42
06--30-82
2 6479.
WHEN MACHINE VALIDATED IN THIS SPACE,
THIS BECOMES A PERMIT. L 5, 0 z O 2, O 0 a FI
07.-02-82
rll r',I1DV
DATE ISSUED
PERMIT NO. TOTAL